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OIG reports on state efforts to streamline Medicaid/CHIP enrollment

February 22, 2013

At least 35 states anticipate meeting federal requirements to streamline eligibility and enrollment procedures for Medicaid, the Children's Health Insurance Program and health insurance exchanges by 2014, according to a new report by the Department of Health and Human Services' Office of Inspector General. Based on an OIG survey of 45 states last April, at least 40 states anticipate having streamlined application forms, 38 streamlined eligibility and enrollment systems, and 37 data sharing and matching by Jan. 1, as required by the Patient Protection and Affordable Care Act. However, many respondents reported challenges implementing the requirements, including the need for more guidance and information on the HHS application form, federal data services hub and modified adjusted gross income requirements. OIG recommends that the Centers for Medicare & Medicaid Services continue to provide guidance to states. In the report, CMS describes its ongoing work with states since the survey was conducted.