States Can Improve Transitions Between Medicaid and the Marketplace
End Notes
[1]In addition, Virginia plans to transition to an SBM in 2024, Georgia plans to transition in 2025, Illinois plans to transition in 2026, and Oregon plans to transition in 2027. Illinois, Oregon, and Virginia have already begun implementing policies aimed at improving transitions between Medicaid and the marketplace.
[2] MACPAC, “Transitions Between Medicaid, CHIP, and Exchange Coverage,” July 2022, https://www.macpac.gov/wp-content/uploads/2022/07/Coverage-transitions-issue-brief.pdf.
[3] Covered California, “Public Health Emergency & Medi-Cal to Marketplace Automatic Enrollment Program,” January 31, 2023, https://hbex.coveredca.com/data-research/library/Auto_Enrollment_Toolkit.pdf.
[4] Maryland Health Connection, “Medicaid to Private Plan Enrollment,” visited September 18, 2023, https://www.marylandhealthconnection.gov/how-to-enroll/medicaid-to-private-plan-enrollment/.
[5] Marissa Woltmann and Monica Sawhney, “Readiness for the End of the Public Health Emergency,” Massachusetts Health Connector and MassHealth, June 9, 2022, https://betterhealthconnector.com/wp-content/uploads/board_meetings/2022/06-09-22/Ongoing-Preparation-for-End-of-the-Federal-Public-Health-Emergency-060922.pdf.
[6] Centers for Medicare & Medicaid Services (CMS), “Demonstration Approval: Oregon Health Plan (Project Number 11-W-00415/10),” April 20, 2023, https://www.medicaid.gov/sites/default/files/2023-04/or-health-plan-ca-04202023.pdf.
[7] Laurel Swerdlow et al., “Basic Health Program (BHP), OHPB Update,” Oregon Health Authority, July 11, 2023, https://www.oregon.gov/oha/OHPB/MtgDocs/5.0%20Basic%20Health%20Program%20presentation_07.11.23.pdf.
[8] HealthSourceRI, “Transitioning from Medicaid to a Qualified Health Plan,” visited September 18, 2023, https://healthsourceri.com/transitions.
[9] Stay Covered RI, “Medicaid Renewals Data Dashboard,” updated August 15, 2023, https://staycovered.ri.gov/data-dashboard.
[10] “SBMs in Plan Year 2023 that operate an integrated eligibility system for purposes of reporting are: California, Connecticut, District of Columbia, Kentucky, Massachusetts, Maryland, Minnesota, New York, Rhode Island, Vermont, and Washington.” From CMS, “Medicaid and CHIP Unwinding: Data Sources and Metrics Definitions Overview,” updated August 2023, https://www.medicaid.gov/sites/default/files/2023-08/data-sources-and-definitions-aug2023-508_0.pdf.
[11] Maryland Health Benefit Exchange, “Maryland Easy Enrollment Health Insurance Program Advisory Work Group Meeting,” June 27, 2023, https://www.marylandhbe.com/wp-content/uploads/2023/07/MEEHP-Work-Group-06.27.23.pdf.
[12] HealthInsurance.org, “Easy enrollment program,” viewed September 18, 2023, https://www.healthinsurance.org/glossary/easy-enrollment-program/.
[13] New Mexico Office of Superintendent of Insurance, “Medicaid Transition Premium Relief,” viewed September 18, 2023, https://www.osi.state.nm.us/medicaid-transition-premium-relief.
[14] Katy Golvala, “Most CT residents enduring Medicaid ‘unwinding’ keep coverage,” CT Mirror, July 12, 2023, https://ctmirror.org/2023/07/12/ct-husky-health-insurance-medicaid/.