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Express Lane Activities: states on the move


The following states authorize the use of information provided to other needbased programs to streamline the Medicaid and/or SCHIP application or renewal process for families. Download PDF version.

Express Lane Activity

State/City

Description of Activity

State law authorizes Express Lane Eligibility 

Louisiana

 

Louisiana:  In 2007, enacted legislation allowing Medicaid/SCHIP to use income findings from non-health programs when authorized by federal law.

Streamlined enrollment using information provided to a non-health program to initiate a health program application

California
Maryland
New Jersey
Vermont
Virginia
California:  Provides accelerated, streamlined enrollment into Medicaid and SCHIP by allowing children to apply for health coverage using the school lunch application.  In 2006, passed legislation to develop an electronic gateway from WIC into health coverage.
Maryland:  Provides accelerated enrollment to Medicaid/SCHIP applicants whose families already have active cases with the Department of Social Services (TANF, Food Stamps, SSI, or Medicaid).
New Jersey:  Piloted express enrollment into Medicaid through the school lunch application process.  Ongoing use of simplified express application from any entry point.
Vermont:  Uses the WIC income determination for Medicaid unless issues arise indicating need to re-evaluate per Medicaid rules.
Virginia:  In 2002, passed legislation paving the way for expedited eligibility processing for Medicaid/SCHIP based on enrollment in WIC/school lunch. 

Automatic renewal using information provided to a non-health program

Alabama
Arkansas
Idaho
Illinois
Louisiana
South Dakota
Washington
Wisconsin
[List in progress.]

These states use information provided to other agencies to determine eligibility for renewal for Medicaid/SCHIP and automatically extend the eligibility period.  Generally, the process interfaces with Food Stamps, but sometimes with child support enforcement and TANF.

 

 

 

Administrative renewal using available data to verify ongoing eligibility

Hawaii 
Illinois
Utah (SCHIP only)
[List in progress.]

These states send families a renewal form but ask that it be returned only if information has chaged. When not returned, the state verifies continuing eligibility for children using administrative data and available databases.

Automatic/default enrollment based on enrollment in non-health program

New York City

New York City:  In 2000, conducted a one-time process which enrolled all uninsured Food Stamp recipient children into Medicaid unless their parents opted out of the "roll over."

Automatic eligibility using another health eligibility finding

Wisconsin

Wisconsin:  Automatically enrolls migrant laborers into Medicaid with proof of enrollment in another state Medicaid program, despite differences in program rules.                

This chart includes the activities we know about that are ongoing as of November 2007 or that were one-time efforts and fully implemented.  Please contact us if you know of additional Express Lane activities so we can keep this chart up to date. Call Beth Morrow (718) 832-6061 or Ken Kelly (202) 429-0033.


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