Eligibility and Enrollment for Health and Social Service Programs: One State's Experience
January 20, 2011
Judith D. Moore & Lisa Sprague, MBA
This trip for CMS staff was undertaken at the request of the Deputy Administrator & Director, Center for Medicaid, CHIP, and Survey & Certifications. Its purpose was to familiarize staff with state and local eligibility and enrollment processes for Medicaid, CHIP, and related programs. The one-day agenda incorporated a visit to the Howard County Health Department and Maryland General Hospital in Baltimore. Speakers included state officials, advocates, and direct eligibility/enrollment workers and their managers. Issues raised were the need to update and integrate state information technology systems, the obstacle posed by different eligibility rules for different programs, and the challenges of obtaining required documentation, particularly for low-income clients who may be in transitional living situations. The Howard County stop included a demonstration of the Department of Human Resources' system of record for enrollment, known as CARES, and a county pilot of a system that will be known as Healthy Maryland when it is rolled out elsewhere in the state.
The agenda of the site visit details the day's speakers and events.