Examples of Promising Practices for Integrating and Coordinating Eligibility, Enrollment and Retention: Human Services and Health Programs Under the Affordable Care Act. Results

07/21/2014

Between September 2012 and June 2013, more than 92,000 previously uncovered children enrolled in Medicaid through ELE in South Carolina.20 Compared to the state’s FY 2012 enrollment of 607,681 children,21 ELE enrollees represented a 15 percent increase in coverage.

Not enough time has passed to conduct the kind of utilization analysis described above for Louisiana ELE. However, state officials found that about one-third of children enrolled through ELE since September 2012 had used services as of May 2013, which was comparable to utilization levels among children enrolling through non-ELE methods.22

Between July 2011 and June 2013, more than 276,000 enrolled children had their coverage renewed through ELE. The combination of automated rather than manual renewal and greatly reduced churning were the main factors responsible for ELE yielding approximately $1.6 million in net annual administrative savings.23

South Carolina’s implementation of ELE helped the state receive a federal CHIPRA performance bonus for the first time in 2011, recognizing its implementation of various best practices specified in CHIPRA as well as increased Medicaid enrollment of eligible children. The bonus exceeded $2 million. The state received a second performance bonus in 2012.24

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