New transitional policy to mitigate IT delay affecting Medicaid, CHIP enrollment in federal exchange marketplace

The Obama administration this week announced a new transitional policy for the three dozen states where the federal government is operating state health benefit exchange markets to mitigate an IT glitch affecting enrollees eligible for state assistance programs. The U.S. Department of Health and Human Services issued guidance (.pdf) on the transitional policy November 29. It allows these states to submit abbreviated enrollee data files in order to allow eligibles to enroll for 2014 coverage.

This new, transitional opportunity for states to enroll individuals assessed or determined eligible by the FFM, using the information provided through the AT flat files, will ensure that enrollment can be completed in a timely way without regard to temporary file transfer system issues at either the federal or state level. It will also help states pace their workloads with respect to enrollment of residents who have applied through the FFM.


Need a speaker or webinar presenter on the Affordable Care Act and the outlook for health care reform? Contact Pilot Healthcare Strategies Principal Fred Pilot by email or call 530-295-1473. 

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Frederick Pilot

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