Better Access to Medicaid? Feds Seek to Simplify Enrollment

Close-up of Medicaid website homepage on a smartphone.For nearly 60 years, Medicaid has helped support tens of millions of low-income Americans, including people with disabilities, with low-cost or free health coverage. Come 2023, a new set of rules proposed by the federal government could improve timely access to this program for millions of eligible individuals.

In an effort to enroll and retain eligible people in programs like Medicaid more effectively — while also ensuring that state agencies avoid more administrative work — the proposal outlines various steps intended to:

  • Simplify the Medicaid enrollment process
  • Reduce the number of eligible Medicaid applicants who are denied coverage – including automatically enrolling most Supplemental Security Income (SSI) recipients
  • Prevent eligible Medicaid beneficiaries from losing coverage – for example, by eliminating the requirement for in-person interviews or giving individuals sufficient time to provide any documents required for renewing coverage
  • Ensure consumers are enrolled in the Medicare Savings Programs, such as the Qualified Disabled and Working Individuals (QDWI) Program, for which they are eligible
  • Strengthen recordkeeping regulations to prevent inconsistent practices across states

The Centers for Medicare & Medicaid Services (CMS) is seeking comment on this new proposal no later than Nov. 7, 2022. Visit the CMS’ dedicated page on this proposed rule to learn how you can submit comments electronically or via regular mail.

Content in this material is for general information only and not intended to provide specific advice or recommendations for any individual.

This material was prepared by the Academy of Special Needs Planners.

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