CHIPRA Mandated Evaluation of Express Lane Eligibility: First Year Findings. 1. Background and Motivation


The primary goal of ELE is to increase enrollment among eligible children. In this section, we present findings from an analysis of descriptive data on enrollment and retention in four states that have adopted ELE in order to examine the extent to which states implementing ELE may be achieving this goal.29 Findings from the analysis address the following four questions:30

  1. How many children are enrolled through ELE—both upon initial implementation and on an ongoing basis? 
  2. Do children who enter Medicaid and CHIP through ELE stay enrolled as long as children who enroll through standard pathways?
  3. Within a state, how do the demographic characteristics of enrollees who enter through ELE compare with those of children who enroll through standard pathways? 
  4. Have enrollees who enter through ELE processes ever been Medicaid or CHIP beneficiaries in the past?

29 As an extension to this descriptive analysis, Chapter IV analyzes more formally the impact of ELE on total program enrollment, exploiting the “natural experiment” that arises from selected states adopting ELE at different points in time.

30 In the second year of the evaluation, we will extend this analysis to explore the effect of ELE on renewals, focusing on two states (Alabama and Louisiana) that authorized ELE for renewal.

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