Kaiser Health News
Tired of waiting for states to reduce their backlogs of Medicaid applications, the Obama administration has given Kansas and five other states until Monday to submit plans to resolve issues that have prevented more than 1 million low-income or disabled people from getting health coverage.
Besides Kansas, the targeted states are Alaska, California, Michigan, Missouri and Tennessee.
“CMS is asking several state Medicaid agencies to provide updated mitigation plans to address gaps that exist in their eligibility and enrollment systems to ensure timely processing of applications and access to coverage for eligible people,” says Aaron Albright, a spokesman for the Centers for Medicare & Medicaid Services. He says the agency will monitor states’ progress in solving the problems getting people enrolled in the state-federal insurance program for the poor.
The agency sent letters June 27 requesting the plans, giving states 10 days to respond. It is unclear if any have submitted plans yet. The letters was first reported by InsideHealthPolicy, a trade publication.
Medicaid-CHIP enrollment in Kansas hit record highs earlier this year.
Kansas has drawn attention from federal authorities due to its slow moving and relatively large waiting lists for home- and community-based services, which advocates for the disabled have said puts the state in violation of the federal Americans with Disabilities Act as defined by the U.S. Supreme Court's so-called Olmstead decision.
All of the states relied on the federal online insurance marketplace that was established under the Affordable Care Act — with the exception of California, which set up its own marketplace known as Covered California. California and Michigan have expanded Medicaid under the health law, but the other four states did not.
California had a backlog of 900,000 applications pending applications in May — about half of them received within the previous 45 days. Although officials have not provided details on their plans for reducing the backlog, the largest in the nation, they recently said it has dropped to 600,000 cases. States typically have up to 45 days to complete the Medicaid enrollment process.
“We continue to make progress and will work with our county partners and Covered California to process the remaining applications and quickly deliver health coverage to all who are eligible,” health department spokesman Norman Williams said in an email Wednesday.
Tennessee Medicaid spokeswoman Kelly Gunderson denied the state has a backlog of applications, saying, “There are numerous aspects of the letter with which we do not agree, and we are currently working on our response to CMS.”
About 6 million people have gained Medicaid coverage since September, mostly as a result of the Affordable Care Act.
A Kaiser Health News analysis of 15 large states in June found that more than 1.7 million more were still waiting for their applications to be processed—with some stuck in limbo for as long as eight months.
The reasons for the problems include technological glitches that prevented the federal insurance marketplace from transferring data on applicants to state Medicaid agencies. Also, many states were unable to handle an enrollment surge because of inadequate staffing, their own computer problems and other issues.
Kaiser Health News is an editorially independent program of the Henry J. Kaiser Family Foundation, a nonprofit, nonpartisan health policy research and communication organization not affiliated with Kaiser Permanente.