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Regulatory Analysis

The following chart, prepared by Manatt Health Solutions, with support from the State Network, summarizes the federal statutory and regulatory eligibility and enrollment requirements for Medicaid using the Modified Adjusted Gross Income (MAGI) methodology, CHIP, Non-MAGI Medicaid, Temporary Assistance for Needy Families (TANF), Child Care Assistance Program and Supplemental Nutrition Assistance Program (SNAP).

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Date Created: Oct 13, 2012


Meetings & Presentations

Heather Howard, director of the State Health Reform Assistance Network, testified before the House Ways and Means Subcommittee on Health on September 12, 2012, as part of the Congressional subcommittee’s hearing on Implementation of Health Insurance Exhcanges and Related Provisions.

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Date Created: Sep 14, 2012


Webinar

On September 27th, 2012, the National Governors Association (NGA) partnered with the State Network to host a webinar for state officials highlighting the Medicaid Expansion Analysis Tool in order to aid officials in their own state analyses.

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Date Created: Sep 13, 2012


Meetings & Presentations

Chad Shearer, Deputy Director of the State Health Reform Assistance Network, presented at the National Association of Insurance Commissioners (NAIC) Western Zone Meeting held September 22, 2012 in San Antonio, TX. The presentation gave an overview of the State Network and tools developed by the program specifically for insurance regulators.

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Date Created: Sep 13, 2012


Work Plans & Timelines

November 16th, 2012 is the deadline for submission of the Blueprint application that certifies states to operate a State Based Exchange (SBE) or State Partnership Exchange. In order to aid states in achieving SBE certification, Manatt Health Solutions with support from the State Network, developed this document which identifies critical SBE implementation tasks.

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Date Created: Sep 12, 2012


Templates & Toolkits

This worksheet and considerations table can serve as a guide for states considering their own Medicaid expansion analysis. The Supreme Court’s decision inNFIB v. Sebelius did not change the underlying Medicaid expansion provisions of the Affordable Care Act (ACA), but did remove the ACA’s enforcement authority for states choosing not to expand.

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Date Created: Sep 11, 2012


Templates & Toolkits

In order to assist states in accomplishing tasks related to insurance market reforms and certification and management of qualified health plans, the Georgetown University Health Policy Institute has developed a toolkit for insurance departments. Many Affordable Care Act (ACA) implementation issues fall squarely within existing state insurance regulatory functions.

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Date Created: Aug 14, 2012


Templates & Toolkits

he Individual Eligibility Business Requirements Template, prepared by Manatt Health Solutions, was developed in order to help drive state decisions and is based on the the eligibility business functions that state Exchanges and Medicaid agencies are required to support pursuant to the Patient Protection and Affordable Care Act (ACA), and related federal implementation regulations.

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Date Created: Aug 12, 2012


Templates & Toolkits

Manatt Health Solutions has created Reasonable Compatibility Straw Models to help state implementers better understand how to operationalize the Affordable Care Act’s (ACA) eligibility rules in their state systems.

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Date Created: Aug 12, 2012


Issue Brief

The Patient Protection and Affordable Care Act (ACA) establishes health benefits exchanges and requires them to create a navigator program to assist consumers and small businesses as they apply for and enroll in coverage.

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Date Created: Aug 12, 2012