Getting into Gear for 2014: Findings from a 50-State Survey of Policies in Medicaid

Federal regulations released in 2012 outline the requirements for all Medicaid programs to have web-based, paperless, real-time enrollment processes that will rely on electronic data and minimize administrative burdens on individuals and eligibility workers. As of Jan. 1, 2013, 47 states had applied for or received increased federal funds to make major upgrades to Medicaid enrollment systems, and 42 states had already begun their system development work. This survey provides a snapshot of Medicaid and CHIP enrollment and eligibility policies and procedures and highlights the changes that states will need to make in their programs to prepare for the ACA in 2014.