The Patient Protection and Affordable Care Act (ACA, P.L. 111-148, as amended) made significant changes to Medicaid enrollment and renewal processes, with the goal of making the program more efficient; reducing complexity and effort for enrollees and program administrators; and integrating Medicaid with the health insurance exchanges.
To better understand how states implemented these ACA changes, MACPAC contracted with the State Health Access Data Assistance Center at the University of Minnesota to examine eligibility, enrollment, and renewal practices in Arizona, Colorado, Florida, Idaho, New York, and North Carolina. This issue brief summarizes the case study findings on eligibility, enrollment, and renewal. Read the complete contractor report here. Separate reports for each state case study can be accessed below.