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

From October 2012 through September 2013, the most recent 12 months for which data are available, 76 percent of children’s renewals were based on data matches, either through ELE (20 percent), administrative renewal (36 percent), or ex parte renewal (20 percent) (fig. 1). Of the remainder, most (15 percent) were renewed by telephone. Only 4 percent of families whose children’s coverage was renewed had to complete and return paper forms to retain coverage.

Figure 1. Renewal methods for Louisiana children covered through Medicaid and CHIP: October 2012 through September 2013

Figure 1. Renewal methods for Louisiana children covered through Medicaid and CHIP: October 2012 through September 2013

Source: Louisiana Department of Health and Hospitals 2013.

In 2008, when the state used administrative, ex parte, and telephonic renewal but not ELE, 19 in 20 children (95.4 percent) had their eligibility continued at renewal, with fewer than 1 percent losing coverage for procedural reasons.4 By contrast, in the nation as a whole, approximately 29 percent of Medicaid and CHIP children lost coverage at the time of their renewal, according to 2005 research, even though 44 percent of the children losing coverage remained eligible.5

Modeling conducted through the ELE Evaluation mandated by the Children’s Health Insurance Program Reauthorization Act of 2009 (CHIPRA) implied that adding ELE to the state’s previous arsenal of renewal strategies boosted the likelihood of Louisiana children retaining Medicaid continuously for 15 months by the small but statistically significant amount of roughly 2 percentage points.6 In part because of its work on renewals, Louisiana won CHIPRA performance bonus awards for three consecutive years, FY 2009-11.7

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