New Medicaid & CHIP Eligibility and Enrollment Rule: What Advocates Need to Know

Executive Summary

In April 2024, HHS published a final rule that seeks to reduce complexity in Medicaid, the Children’s Health Insurance Program (CHIP), and the Basic Health Program (BHP) related to eligibility and enrollment. The rule also seeks to ensure that eligible individuals – including children, older adults, and individuals with disabilities – remain enrolled in all insurance affordability programs, including Exchange coverage. This guide is designed to help advocates understand the changes in the final rule and when they go into effect.