CHIPRA Mandated Evaluation of Express Lane Eligibility: First Year Findings. ELE has benefited applicants, reducing documentation requirements and expediting the eligibility determination process for families.


Across the seven ELE programs implemented as of December 2010, Medicaid and CHIP staff cited a number of potential benefits to applicants from their ELE programs. In five of the seven ELE programs (all except Alabama and Maryland), ELE required that applicants submit fewer documents in support of their ELE applications compared to standard applications, and required fewer interactions with state staff (Table 3). In addition, in six programs (all but Maryland), ELE applications were processed more quickly than standard applications, which resulted in expedited eligibility determinations for families. These expedited processes shortened the typical time from application to enrollment for an eligible child from roughly three or four weeks to one week or less.

Some states also noted that ELE has improved the application experience of non-ELE applicants. For example, in New Jersey, the use of tax information in ELE has led to more extensive use of tax information in standard application processing. Specifically, people applying via the standard route are permitted to attest to income and are not required to provide pay stubs if their attestation matches tax return data. Also, in Alabama and Louisiana, state staff suggested that the time saved by diverting some applications to ELE routes has meant that standard processing times for non-ELE applications are quicker than they would be otherwise.

View full report


"rpt.pdf" (pdf, 1.1Mb)

Note: Documents in PDF format require the Adobe Acrobat Reader®. If you experience problems with PDF documents, please download the latest version of the Reader®