Medicaid & CHIP Marketplace Interactions

This table highlights some of the critical intersections between the Marketplace, Medicaid, and the Children's Health Insurance Program (CHIP). The table lists the Marketplace model each state has selected for 2015 — State-based, Federally-facilitated, or working in partnership with the Federal Marketplace — and indicates whether states with a Federally-facilitated Marketplace (FFM) have elected to have the FFM make assessments of Medicaid/CHIP eligibility, transferring the account to the Medicaid/CHIP agency for a final determination, or whether the state has delegated the authority to make Medicaid/CHIP eligibility determinations to the FFM.

State Medicaid/CHIP and Marketplace Interactions (As of November 1, 2015)
State	Marketplace Model: SBM/Partnership/FFM	FFM Assessment vs. Determination
Alabama	FFM	Determination state
Alaska	FFM	Determination state
Arizona	FFM	Assessment state
Arkansas	FFM Partnership Model	Determination state
California	SBM
Colorado	SBM
Connecticut	SBM
Delaware	FFM Partnership Model	Assessment state
District of Columbia	SBM
Florida	FFM	Assessment state
Georgia	FFM	Assessment state
Hawaii	SBM	Assessment state
Idaho	SBM
Illinois	FFM Partnership Model	Assessment state
Indiana	FFM	Assessment state
Iowa	FFM Partnership Model	Assessment state
Kansas	FFM	Assessment state
Kentucky	SBM	Assessment state
Louisiana	FFM	Determination state
Maine	FFM	Assessment state
Maryland	SBM
Massachusetts	SBM
Michigan	FFM Partnership Model	Assessment state
Minnesota	SBM
Mississippi	FFM	Assessment state
Missouri	FFM	Assessment state
Montana	FFM	Determination state
Nebraska	FFM	Assessment state
Nevada	SBM**	Assessment state
New Hampshire	FFM Partnership Model	Assessment state
New Jersey	FFM	Determination state^*
New Mexico	SBM**	Assessment state
New York	SBM
North Carolina	FFM	Assessment state
North Dakota	FFM	Assessment state
Ohio	FFM	Assessment state
Oklahoma	FFM	Assessment state
Oregon	SBM**	Assessment state
Pennsylvania	FFM	Assessment state
Rhode Island	SBM
South Carolina	FFM	Assessment state
South Dakota	FFM	Assessment state
Tennessee	FFM	Determination state^*
Texas	FFM	Assessment state
Utah	FFM	Assessment state
Vermont	SBM
Virginia	FFM	Assessment state
Washington	SBM
West Virginia	FFM Partnership Model	Determination state
Wisconsin	FFM	Assessment state
Wyoming	FFM	Determination state***

* The state Medicaid agency has delegated authority to the Marketplace to make determinations of eligibility for Medicaid and CHIP as a mitigation strategy.
** For Plan Year 2015, the state’s Marketplace will be using the FFM’s information technology platform for eligibility and enrollment functions. Therefore, the FFM will also be making either assessments or determinations of Medicaid and CHIP eligibility. It is important to note that even though the state is relying on the FFM for this functionality, the state may still be operating its own SHOP marketplace in Plan Year 2015.
***The state has delegated authority to the Marketplace to make determinations of eligibility for Medicaid; the Marketplace makes only an assessment of CHIP eligibility.