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


As of April 1, 2012, the Centers for Medicare & Medicaid Services (CMS) had approved nine states–Alabama, Colorado, Georgia, Iowa, Louisiana, Maryland, New Jersey, Oregon, and South Carolina–to implement Express Lane Eligibility (ELE). Even among this small number of states, the striking variation in ELE designs reflects the flexibility that the Children’s Health Insurance Program Reauthorization Act (CHIPRA) affords. For example, states’ partner agencies range from those administering other public benefits—such as the National School Lunch Program (NSLP) (New Jersey and Colorado), the Supplemental Nutrition Assistance Program (SNAP) (Alabama, Iowa, Louisiana, and South Carolina), Temporary Assistance for Needy Families (TANF) (Alabama and South Carolina), and the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) (Georgia)—to those responsible for aspects of state revenue, including the Division of Taxation (New Jersey) and the Office of the Comptroller (Maryland). To inform our analysis of the administrative costs and savings associated with ELE, as well as our interpretation of enrollment trends, this chapter documents the similarities and differences between ELE programs as they have been implemented.

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