Iowa Medicaid’s ELE process was introduced in June 2010. Using an automated data-matching procedure, families enrolling in SNAP are screened for Medicaid eligibility and receipt by the Department of Human Services, which administers both programs. Shortened application forms—with no questions about income and resources—are automatically mailed to families of children on SNAP who are not publicly insured. To try to make clear to parents the link between SNAP enrollment and contact from Medicaid, matches are conducted and applications are sent daily, thus preventing a lengthy gap between completing the SNAP application and receiving the follow-up form for health coverage. Typically, parents are required only to sign and return the form they receive; in rare cases where the Social Security Administration cannot verify citizenship, additional documentation must also be submitted. Upon receipt of a completed application form, state eligibility workers enter the family’s information and finalize Medicaid enrollment. From June 2010 through December 2011, about 23,000 applications were mailed out to potential enrollees, and just over 2,000 children were enrolled via ELE.