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.
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.
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.
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.
Reasonable Compatibility Straw Models: Federal Requirements and State Options for Constructing a State’s Financial Reasonable Compatibility Standard
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.
Building On a Solid Foundation: Leveraging Current Programs and Infrastructure in Navigator Program Development
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.
Heather Howard, Director of the State Health Reform Assistance Network, and Mila Kofman, Research Professor at Georgetown University’s Health Policy Institute, presented at the National Association of Insurance Commissioners (NAIC) Summer National Meeting held from August 11-14, 2012 in Atlanta, GA.
The Patient Protection and Affordable Care Act (ACA) has prompted the Centers for Medicare and Medicaid Services (CMS) to promulgate Medicaid and CHIP eligibility rules designed to simplify and collapse Medicaid eligibility categories in preparation for the changes in Medicaid that will become effective under the ACA in 2014.
The State Health Reform Assistance Network hosted its Annual Meeting in Portland, Oregon to bring together state officials and State Network technical assistance providers for a three day intensive meeting from July 11-13, 2012. The Annual Meeting provided an opportunity for state officials to hear from Oregon Governor John Kitzhaber, Len Nichols, and Jeanene Smith during plenary sessions.
The 2014 Medicaid Eligibility Transition Toolkit is designed to assist states in systematically identifying issues and decisions they will face as they convert to 2014. The toolkit was originally provided to two states by the National Academy for State Health Policy (NASHP) as part of the State Health Reform Assistance Network that is funded by the Robert Wood Johnson Foundation. NASHP has updated the toolkit to be applicable to any state and to reflect the final Medicaid eligibility rules.