Eligibility & Enrollment Archive

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  • Background on Upcoming Supreme Court Decision-ACA’s Contraceptive Coverage

    The current round of Affordable Care Act litigation is dominated by cases challenging a requirement that most new health plans cover contraception without cost-sharing. A decision by the Supreme Court on cases by two for-profit challengers, Conestoga Wood Specialties Corp and Hobby Lobby Stores, Inc. is imminent. This pre-decision…

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  • NHeLP Comments on Provider Non-Discrimination RFI

    Deborah Reid and

    Section 2706(a) of the Affordable Care Act prohibits all group health plans and health insurance issuers offering group or individual health insurance coverage from discriminating with respect to participation under the plan or coverage against any health care provider who is acting within the scope of that provider's license…

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  • ACA-related State Plan Amendments in Medicaid

    The Affordable Care Act (ACA) brought significant changes to the Medicaid program, including expanded coverage opportunities for adults under 65 with incomes under 138 percent of the Federal Poverty Level (FPL) and new methodologies for determining and renewing eligibility. States must update their existing Medicaid state plans to implement…

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  • Don’t Deny the Gap

    Myths and Facts on Medicaid Expansion This blog post by the Utah Health Policy Project can serve as a useful template for advocates pushing for implementation of the adult Medicaid expansion. UHPP takes on the top seven arguments against closing Utah's coverage gap, with facts about the costs and…

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  • Lessons from CA: Delaying 2014 Renewals for Medi-Cal Enrollees

    In June, current enrollees of California's Medicaid program, Medi-Cal, will be asked to complete a new renewal process and be evaluated under the new MAGI eligibility rules. But with nearly one million Medi-Cal applications still pending and a faulty IT system unable to accurately determine Medi-Cal eligibility, hundreds of…

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  • Health Advocate: Special Enrollment Periods

    Over 8 million people are now covered by health insurance thanks to open enrollment in the federal and state healthcare marketplaces.  But, what about those who missed out on the open enrollment?  In certain circumstances, such as loss of insurance coverage or other life changes, they may be eligible…

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