State Programs, Budgets

States expanding Medicaid eligibility under the ACA can substantially expedite Medicaid enrollment and retention for SNAP participants, 97 percent of whom will qualify for Medicaid, according to this study. Even in states where SNAP provides broad-based categorical eligibility that extends SNAP’s gross income limits to at least 185 percent of the federal poverty level, 94 percent of SNAP recipients will qualify for Medicaid. Data showing SNAP receipt can thus verify Medicaid applicants’ financial eligibility, allow administrative renewal for Medicaid beneficiaries, and facilitate Medicaid enrollment for numerous eligible consumers when expanded coverage begins in early 2014.

This study is the first to offer a detailed look at medical spending burden levels, defined as total family medical out-of-pocket spending as a proportion of income, for each state. It further investigates which states have greater shares of individuals with high burden levels and no Medicaid coverage, but would be Medicaid eligible under the 2014 rules of the Affordable Care Act should their state choose to participate in the expansion. This work suggests which states have the largest populations likely to benefit, in terms of lowering medical spending burden, from participating in the 2014 adult Medicaid expansions.

Work Support Strategies (WSS) is a multiyear, multi-state initiative to implement reforms that help eligible low-income families get and keep a full package of work support benefits, including Medicaid, nutrition assistance (SNAP), and child care assistance. This report summarizes the lessons learned from the nine planning grant states (Colorado, Idaho, Illinois, Kentucky, New Mexico, North Carolina, Oregon, Rhode Island, South Carolina), just one year into a four-year project. The report includes what the states did, how they overcame challenges, and how the planning year changed their strategies and capacities for the future.

Work Support Strategies (WSS) is a multiyear, multi-state initiative to implement reforms that help eligible low-income families get and keep a full package of work support benefits, including Medicaid, nutrition assistance (SNAP), and child care assistance. This report describes Colorado's accomplishments and lessons learned during the initiative’s first year. In this planning year, Colorado improved collaboration between the state human services and health agencies, and between the state and counties. Improved collaboration led to a shortened joint benefit application, quicker processing of SNAP applications and recertifications, cohesive plans for implementing health reform, and supplemental budget funds to improve the statewide automated benefits system.

Work Support Strategies (WSS) is a multiyear, multi-state initiative to implement reforms that help eligible low-income families get and keep a full package of work support benefits, including Medicaid, nutrition assistance (SNAP), and child care assistance. This report describes Idaho's accomplishments and lessons learned during the initiative's first year. In this planning year, Idaho implemented policy and process improvements, including improving the redetermination process by aligning redetermination dates and further implementing the universal workforce case management approach. The state also implemented child care assistance program reforms including aligning policy with other work support programs and simplifying eligibility requirements.

Work Support Strategies (WSS) is a multiyear, multi-state initiative to implement reforms that help eligible low-income families get and keep a full package of work support benefits, including Medicaid, nutrition assistance (SNAP), and child care assistance. This report describes Illinois' accomplishments and lessons learned during the initiative's first year. In this planning year, the state identified how and where to best align programs to simplify eligibility processes, including an assessment of child care assistance policies and development of a key performance measures report for local office managers. The state designed and piloted a new task-based model to improve benefit field office efficiency.

Work Support Strategies (WSS) is a multiyear, multi-state initiative to implement reforms that help eligible low-income families get and keep a full package of work support benefits, including Medicaid, nutrition assistance (SNAP), and child care assistance. This report describes North Carolina's accomplishments and lessons learned during the initiative's first year. In this planning year, North Carolina broke down state program silos and instituted a review board to assure cross-program input to policy changes. The state engaged with counties around the implementation of a new benefits eligibility system and encouraging innovation in business processes and piloted alignment of program certification dates.

Work Support Strategies (WSS) is a multiyear, multi-state initiative to implement reforms that help eligible low-income families get and keep a full package of work support benefits, including Medicaid, nutrition assistance (SNAP), and child care assistance. This report describes Rhode Island's accomplishments and lessons learned during the initiative's first year. During this year, the state engaged frontline workers, state leaders and community stakeholders, built close connections with the state’s health reform activities around design of a new eligibility system, identified opportunities for data system improvements and to align eligibility and enrollment requirements and implemented relevant policy changes.