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A Simpler Way to Apply for Health Care

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The Centers for Medicare & Medicaid Services (CMS) announced Tuesday, April 30, 2013 that the application for health coverage has been simplified and significantly shortened. The application for individuals without health insurance has been reduced from twenty-one to three pages, and the application for families is reduced by two-thirds. The consumer friendly forms are much shorter than industry standards for health insurance applications today.

In addition, for the first time consumers will be able to fill out one simple application and see their entire range of health insurance options, including plans in the Health Insurance Marketplace, Medicaid, the Children’s Health Insurance Program (CHIP) and tax credits that will help pay for premiums.

The applications released today, which can be submitted starting on October 1, can be found here: http://cciio.cms.gov/resources/other/index.html#hie

View the Individual Short Form here: http://cciio.cms.gov/resources/other/files/AttachmentB_042913.pdf

View the Family Form here:

http://cciio.cms.gov/resources/other/files/AttachmentC_042913.pdf

View the Individual without Financial Assistance here:

http://cciio.cms.gov/resources/other/files/AttachmentD_042913.pdf

The online version of the application will be a dynamic experience that shortens the application process based on individuals’ responses. The paper application was simplified and tailored to meet personal situations based on important feedback from consumer groups.

Consumers can apply online, by phone or paper when open enrollment begins October 1, 2013. There will be clear information provided about how to complete the application, and how to access help applying and enrolling in coverage.

This consumer-focused approach will facilitate the enrollment of millions of Americans into affordable, high quality coverage while minimizing the administrative burden on states, individuals and health plans.

For more information about the Health Insurance Marketplace, visit: www.HealthCare.gov

Questions or Concerns? Contact HHSIEA@hhs.gov.

S.C. Does Good, Uncle Sam Rewards Us With Money

According to The Business Journal of Greenville, Spartanburg & Anderson, Uncle Sam has awarded S.C. $2.38 million in Medicaid bonus money for doing the right thing, making it simpler for low-income families to enroll their kids in the Children’s Health Insurance Program.

The performance bonus payments are funded under the Children’s Health Insurance Program Reauthorization Act. To qualify, states must surpass a specified Medicaid enrollment target. They also must adopt procedures that improve access to Medicaid and the Children’s Health Insurance Program, making it easier for eligible children to enroll and retain coverage.

Performance bonuses help offset the costs states incur when enrolling lower-income children in Medicaid. By ensuring that states streamline their enrollment and renewal procedures, the bonuses also give states the incentive to adopt long-term improvements in their children’s health insurance programs.

Of course, this is the first time South Carolina has qualified for the federal bonus program, given our long and hallowed tradition of scorning the poor. S.C. Appleseed has fought for years to get the S.C. Department of Health and Human Services to implement the bureaucratic efficiencies that only now have qualified us for this much needed federal funding. Unfortunately, the Sanford administration always was for ideology over individuals, even if that meant adhering to a policy that contradicted another of its closely held principles. In this case, that meant having separate state agencies duplicate each others’ work, thereby slowing and complicating the Medicaid enrollment process.

You read that correctly: The Sanford administration – that full-throated champion of drowning government in the bathtub – insisted that a bloated, redundant and wasteful state bureaucracy was preferable to helping low-income children access quality health care through Medicaid.

Despite Bad Economy, S.C. Makes Progress In Enrolling Kids

Press Release:

New Analysis Shows State, National Progress in Extending Coverage

Columbia – South Carolina made significant progress in reducing the number of uninsured children from 2008 to 2010, according to a new report released by the South Carolina Appleseed Legal Justice Center and authored by the Georgetown University Health Policy Institute’s Center for Children and Families.  South Carolina’s rate of uninsured kids declined from 11.7% in 2008 to 9.4% in 2010, meaning more than 23,000 additional children had coverage in 2010, despite challenging unemployment and increases in child poverty.  Nationwide, the rate of uninsured children went from 9.0% in 2008 to 8.0% in 2010.

“The progress on children’s health insurance is due to the success of Medicaid and Healthy Connection Kids, which have continued to fill the void created by a decline in employer-based health insurance, high unemployment, and the increasing cost of private health insurance,” said Sue Berkowitz of the South Carolina Appleseed Legal Justice Center.

“Now we call on the General Assembly to build on this progress by granting the Department of Health and Human Services the additional $35 million it has requested, in order to provide coverage to another 70,000 children in South Carolina who are currently shut out of our healthcare system.”

Analyzing newly available data from the Census Bureau, the Georgetown researchers examined the changes in coverage rates for children from 2008 through 2010.

In 2008, South Carolina had about 124,900 uninsured children according the report, which uses data from the Census Bureau’s American Community Survey.  By 2010, that number had declined to 101,900.  South Carolina’s improvement in coverage for kids of 2.3 percentage points over three years was enough to put it into the top ten among states for improvement over that period.

While state-specific demographic data are not available, nationally there are some important differences worth noting among demographic groups.  Hispanic and Native American children remain disproportionately uninsured, older children are less likely to be covered than younger children, and uninsured rates are higher for children living in families earning below 50 percent of the poverty line.

“This report highlights a rare piece of good news at a challenging time for children. Poverty has gone up, but more kids are insured,” said Joan Alker, Co-executive Director of the Georgetown Center for Children and Families. “State leaders, with strong federal support through Medicaid and CHIP, have provided some much needed peace of mind to many families struggling to meet their children’s health care needs during perilous economic times.  These gains are fragile and could quickly be reversed if state or federal support erodes.”

See the full report here.

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