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APHSA
American Public Human Services Association
National Council of State Human Service Administrators
Resolution
State Proposals to Simplify Medicaid Eligibility
WHEREAS historically, Medicaid eligibility was tied to eligibility for cash assistance;
WHEREAS welfare reform legislation delinked Medicaid eligibility from that of cash
assistance programs;
WHEREAS Congress and states have extended Medicaid eligibility to poverty-related
groups, regardless of their cash assistance eligibility;
WHEREAS many states opt to cover the medically needy-those whose incomes are too
high to qualify for cash assistance, but who incur medical expenses significant enough to
otherwise impoverish them;
WHEREAS many states have even further expanded the populations that can be eligible
for Medicaid by using more liberal income and resource methodologies and Section 1115
waiver provisions to improve access and streamline eligibility;
WHEREAS the wide variety of Medicaid eligibility categories and subsequent rules can
make navigation of the eligibility process both complicated and time-consuming for even
those beneficiaries who are currently enrolled, let alone prospective applicants;
WHEREAS many Medicaid consumers also access other federal benefits-such as food
stamps or child care-and the morass of conflicting eligibility rules and methodologies
across the programs creates a barrier to accessing needed benefits;
WHEREAS eligibility for the Medicaid program should be simplified to the greatest
extent possible to provide improved and unimpeded access to beneficiaries;
THEREFORE, BE IT RESOLVED that the National Council of State Human Service
Administrators urges Congress and the Administration to take the following action:
1. Improve coordination and communication among all federal agencies. Examples
include improving the reliability and timeliness of information the INS must provide
to states on alien status, improving the content and timeliness of information the SSA
must provide to states to determine Medicaid eligibility for individuals who lose SSI
benefits (both children and adults with disabilities), easing confidentiality rules that
prevent eligibility information sharing among programs, and ensuring that INS and
Adopted by the American Public Human Services Association, National Council of State
Human Service Administrators
July 22, 1998
A council of the American Public Human Services Association, representing public human services since 1930
810 First Street, NE, Suite 500, Washington, DC 20002-4267
(202) 682-0100
fax: (202) 289-6555
http://www.aphsa.org
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"ocrText": "APHSA\nAmerican Public Human Services Association\nNational Council of State Human Service Administrators\nResolution\nState Proposals to Simplify Medicaid Eligibility\nWHEREAS historically, Medicaid eligibility was tied to eligibility for cash assistance;\nWHEREAS welfare reform legislation delinked Medicaid eligibility from that of cash\nassistance programs;\nWHEREAS Congress and states have extended Medicaid eligibility to poverty-related\ngroups, regardless of their cash assistance eligibility;\nWHEREAS many states opt to cover the medically needy-those whose incomes are too\nhigh to qualify for cash assistance, but who incur medical expenses significant enough to\notherwise impoverish them;\nWHEREAS many states have even further expanded the populations that can be eligible\nfor Medicaid by using more liberal income and resource methodologies and Section 1115\nwaiver provisions to improve access and streamline eligibility;\nWHEREAS the wide variety of Medicaid eligibility categories and subsequent rules can\nmake navigation of the eligibility process both complicated and time-consuming for even\nthose beneficiaries who are currently enrolled, let alone prospective applicants;\nWHEREAS many Medicaid consumers also access other federal benefits-such as food\nstamps or child care-and the morass of conflicting eligibility rules and methodologies\nacross the programs creates a barrier to accessing needed benefits;\nWHEREAS eligibility for the Medicaid program should be simplified to the greatest\nextent possible to provide improved and unimpeded access to beneficiaries;\nTHEREFORE, BE IT RESOLVED that the National Council of State Human Service\nAdministrators urges Congress and the Administration to take the following action:\n1. Improve coordination and communication among all federal agencies. Examples\ninclude improving the reliability and timeliness of information the INS must provide\nto states on alien status, improving the content and timeliness of information the SSA\nmust provide to states to determine Medicaid eligibility for individuals who lose SSI\nbenefits (both children and adults with disabilities), easing confidentiality rules that\nprevent eligibility information sharing among programs, and ensuring that INS and\nAdopted by the American Public Human Services Association, National Council of State\nHuman Service Administrators\nJuly 22, 1998\nA council of the American Public Human Services Association, representing public human services since 1930\n810 First Street, NE, Suite 500, Washington, DC 20002-4267\n(202) 682-0100\nfax: (202) 289-6555\nhttp://www.aphsa.org"
}