Online Applications For Medicaid And/Or CHIP: An Overview of Current Capabilities And Opportunities For Improvement

This analysis provides an overview of online applications for Medicaid and/or CHIP and examines the extent to which they incorporate features that streamline and simplify the enrollment process for individuals. Thirty-two states currently offer an online application for one or both of these programs that is accessible by the public and can be electronically submitted, although they vary in their features.

A key component of the Patient Protection and Affordable Care Act is the creation of integrated and coordinated eligibility processes for Medicaid, CHIP, and Exchange coverage that are supported by technology. States will be required to provide a single application that individuals can use to apply for these programs that is available in multiple formats, including online. Online applications can minimize burdens on individuals and help increase enrollment by making the application available around the clock, enabling faster or real-time eligibility determinations, and streamlining and simplifying the application process. States can also benefit from online applications through reduced administrative burdens and increased accuracy and efficiency. However, the extent to which an online application realizes these advantages depends on its structure and capabilities.

Issue Brief (.pdf)