CHIPRA Mandated Evaluation of Express Lane Eligibility: First Year Findings. 5. New Jersey


Since May 2009, the New Jersey Department of Human Services (DHS), which administers Medicaid and CHIP, has partnered with the Division of Taxation to implement ELE. The state income tax form includes a box that families can check to indicate whether dependents under age 19 have health insurance. The Division of Taxation provides tax return data to DHS for families who indicate uninsured dependents, and DHS then matches the information with Medicaid and CHIP records to create a targeted mailing list for outreach. DHS sends targeted families an abbreviated public health insurance application form that does not require parents’ income or employment status information. If the form is returned, information obtained from the tax return, including income, social security number, and address, is used to process the ELE application. Importantly, when adjusted gross income from the state tax form is being used to determine eligibility, parents are not required to provide documentation of income or report income a second time when filing the Medicaid application. As of December 2011, about 5,300 enrollments have been processed via ELE.

New Jersey also launched a statewide ELE process with NSLP in October 2011. Under this process, schools provide the third-party Medicaid and CHIP administrator with a list of uninsured children, with an indicator for those children who receive free or reduced-price school lunches. Families of children with such an indicator are sent ELE application packets. Because this partnership began relatively recently, we have not evaluated it this year; however, findings on the NSLP ELE program will be included in the final Report to Congress.

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