CHIPRA Mandated Evaluation of Express Lane Eligibility: First Year Findings. B. Data


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.

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