As described in Chapter II, as of January 2012, eight states had received Centers for Medicare & Medicaid Services (CMS) approval of ELE state plan amendments (SPAs). Table IV.1 summarizes the programs and the implementation date assumptions used for the empirical analysis. This chapter combines this information with Medicaid/CHIP enrollment data from SEDS and various policy and economic indicators from additional data sources.
Table IV.1. States with Approved State Amendments for CHIPRA Express Lane Eligibility as of January
|State||Health Program||Eligibility Factors||Express Lane Program(s)||ELE Function||Implementation Date||SEDS Implementation Date (Fiscal Year)||# of Post-ELE Quarters|
|Alabama I||Medicaid||Income||SNAP; TANF||Renewal||10/1/2009||Q1 2010||8|
|Alabama II||Medicaid||Income||SNAP; TANF||Initial determination and renewal||4/1/2010||Q3 2010||6|
|Georgia||Medicaid & CHIP||Income, identity, age, state residence||WIC||Initial determination||1/1/2011||Q2 2011||3|
|Iowa||Medicaid & CHIP||All eligibility factors except immigration status and citizenship from SNAP; Income from Medicaid||SNAP; Medicaida||Initial determination (SNAP & Medicaid); redetermination (Medicaid)||6/1/2010 (SNAP); 7/1/2010 (Medicaid)||Q4 2010||5|
|Louisiana I||Medicaid||Income, state residence, SSN, identity||SNAP||Initial determination and renewal||2/10 for applications; 11/10 for renewals||Q2 2010||7|
|Louisiana II||Medicaid||Income, state residence, SSN, identity||SNAP||Initial determination and renewal||12/09 for applications; 11/10 renewals||Q1 2010||8|
|Oregon||Medicaid & CHIP||Income and state residence (and SSN, from SNAP)||SNAP; NSLP (pilot)||Initial determination||8/1/2010 for SNAPb; 11/11 for NSLP||Q4 2010||5|
|South Carolina||Medicaid||Income and assets||SNAP; TANF||Renewal||4/1/2011||Q3 2011||2|
|New Jersey||Medicaid & CHIP||Income and identity||State income tax; NSLP||Initial determinationc||5/1/2009||Q3 2009||10|
|Maryland I||Medicaid||State residence||State income tax||Initial determination||5/1/2008 (tax-based outreach)||Q1 2009d||12|
|Maryland II||Medicaid||State residence||State income tax||Initial determination||4/1/2010 (tax-based ELE)||Q3 2010||6|
Source: Urban Institute analysis of CHIP and Medicaid state plan amendments, Centers for Medicare & Medicaid Services.
Notes: 1) For states with two rows, the first row corresponds to the implementation date used for the main analysis, and the second row corresponds to the sensitivity analysis date. (2) Federal fiscal year quarters are as follows: first quarter, October 1 through December 31; second quarter, January 1 through March 31; third quarter, April 1 through June 30; and fourth quarter, July 1 to September 30.
a This program uses one-way Medicaid-to-CHIP ELE referrals. There are no CHIP-to-Medicaid ELE referrals. ELE is used for redeterminations that result in a child being transferred from Medicaid to CHIP.
b Enrollments under the SNAP ELE initiative began in September 2010, but CMS recognizes the state plan amendment effective date as August 2010.
c New Jersey’s ELE program is authorized for applications and renewals, but officials report ELE has only been used for initial applications at this point.
d Maryland's tax-based outreach program was implemented in May 2008, but applications were not sent out until September.
CHIP = Children's Health Insurance Program; CHIPRA = Children's Health Insurance Program Reauthorization Act; CMS = Centers for Medicare & Medicaid Services; ELE = Express Lane Eligibility; NSLP = National School Lunch Program; SNAP = Supplemental Nutrition Assistance Program; TANF = Temporary Assistance for Needy Families; WIC = Special Supplemental Nutrition Program for Women, Infants and Children.