In response to CMS guidance provided on May 17, 2013, many states have adopted one or more of the targeted enrollment strategies designed to facilitate enrollment of eligible individuals in Medicaid/Children's Health Insurance Program (CHIP). States can choose among 5 strategies identified:
- Implementing Modified Adjusted Gross Income (MAGI) rules on October 1st.
- Extending the renewal period for certain individuals.
- Facilitating enrollment through administrative transfers of eligibility data from other programs.
- Enrolling parents based on children’s eligibility.
- Adopting 12 months of continuous eligibility (without regard to changes in circumstances) for parents and other adults through the Medicaid section 1115 waiver authority. (States already have this option for children without need for a waiver.)
The following table outlines the new targeted enrollment strategies states have elected to adopt to date.
| State | Strategy 1: Early MAGI (15) | Strategy 2: Delayed Renewals & Date of Completion (36) | Strategy 3: Facilitating Enrollment through Administrative Data Transfer (7) | Strategy 4: Enrolling Parents Based on Children’s Eligibility (4) | Strategy 5: Adopting 12-month Continuous Eligibility for Parents/Other Adults |
|---|---|---|---|---|---|
| Alabama | Approved - May 2014 (CHIP) | ||||
| Alaska | |||||
| Arkansas | Approved - September 2014 | Approved - SNAP to Medicaid transfer | |||
| California | Approved - June 2014 | Approved - SNAP to Medicaid transfer | Approved | ||
| Colorado | Approved | ||||
| Connecticut | Approved - June 2015 | ||||
| Delaware | Approved - September 2014 | ||||
| District of Columbia | Approved | Approved - December 2014 | |||
| Florida | Approved - June 2014 (Medicaid); Approved - October 2014 (CHIP) | ||||
| Georgia | Approved - September 2014 (Medicaid); Approved - June 2014 (CHIP) | ||||
| Hawaii | Approved | Approved - June 2014 (MAGI pops) | |||
| Idaho | Approved - April 2014 | ||||
| Illinois | Approved | Approved - June 2014 | Approved - SNAP to Medicaid transfer | ||
| Kansas | Approved | Approved - November 2014 | |||
| Kentucky | Approved - June 2014 | ||||
| Louisiana | Approved | Approved - December 2015 | |||
| Maryland | Approved - December 2014 | ||||
| Massachusetts | Approved - September 2015 | ||||
| Michigan | Approved - September 2014 | Approved - SNAP to Medicaid transfer | |||
| Minnesota | Approved - March 2015 | ||||
| Mississippi | Approved - December 2015 | ||||
| Missouri | Approved | Approved - September 2014 | |||
| Montana | Approved - September 2014 | ||||
| Nevada | Approved | Approved – September 2015 | |||
| New Jersey | Approved | Approved - December 2015 | Approved - SNAP to Medicaid transfer | Approved | |
| North Carolina | Approved - June 2014 | ||||
| North Dakota | Approved - June 2014 | ||||
| Ohio | Approved - December 2015 | ||||
| Oklahoma | Approved | Approved - April 2014 | |||
| Oregon | Approved | Approved - December 2014 | Approved - SNAP to Medicaid transfer | Approved | |
| Pennsylvania | Approved | Approved for CHIP - June 2014 | |||
| Rhode Island | Approved - December 2015 | ||||
| South Carolina | Approved - December 2015 | ||||
| Tennessee | Approved - July 2015 | ||||
| Vermont | Approved - September 2014 | ||||
| Virginia | Approved | ||||
| Washington | Approved | Approved – April 2014 | |||
| West Virginia | Approved | Approved - March 2015 | Approved - SNAP to Medicaid transfer | Approved | |
| Wyoming | Approved - June 2014 | ||||
| Totals | 15 | 36 | 7 | 4 |