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Information Technology Systems & Data

In anticipation of the passage of the Affordable Care Act, CMS developed and codified a policy and financing structure designed to provide States with tools needed to achieve the immediate and substantial investment in information technology systems that is needed in order to ensure that Medicaid systems will be in place in time for the January 1, 2014 launch date of the new Affordable Insurance Exchanges as well as the expansion of Medicaid eligibility.

Areas of interest under this provision:

Eligibility and Enrollment Systems

Providing federal funding to assist states with streamlining and upgrading Medicaid eligibility systems is critical to assuring a simple and seamless enrollment experience for consumers who qualify for Medicaid or CHIP or who are shopping for health insurance in the Affordable Insurance Exchanges.

New Reports Released by HHS/ASPE

ASPE’s Office of Human Services Policy and Office of Health Policy have released three new reports under their co-funded research project, “Integrating Health and Human Services Programs and Reaching Eligible Individuals Under the Affordable Care Act.”  The study supports Affordable Care Act implementation by exploring opportunities for cross-program integration, outreach, and enrollment activities. The first of the new reports, listed below, provides valuable information for states interested in taking advantage of time-limited cost-sharing for IT systems. 

Finder.HealthCare.gov: Establishing a Website (portal) through which individuals and small businesses can obtain information about the insurance coverage options that may be available to them in their state. This new resource is now available at Finder.HealthCare.gov.

CMS is continuing to work to provide ongoing guidance to give States the support they need to enroll millions of newly eligible individuals through multiple channels; operate seamlessly with newly authorized Affordable Insurance Exchanges; and produce notices and communications to applicants and beneficiaries concerning the process, outcomes, and their rights to dispute or appeal.