Feds Say They Fixed Medicaid Problem for Children

Duaine

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CONCORD, N.H. (AP) — A wrinkle in the HealthCare.gov website that temporarily left some children without insurance coverage has been fixed, federal officials said Friday.


Children who have been denied Medicaid coverage can now be added to a subsidized plan, the Centers for Medicare and Medicaid Services said in a letter to a New Hampshire congresswoman.


U.S. Rep. Carol Shea-Porter wrote to CMS after report by The Associated Press revealed the glitch last month.


Children who qualify for Medicaid cannot be covered under subsidized family plans purchased through the federal online markets. That left some without coverage until their Medicaid eligibility was determined while others who were rejected for Medicaid still couldn’t be added to their parents’ plans.


In a letter to Shea-Porter on Friday, CMS says consumers can now use the website to report if someone was denied coverage and take steps to add the child to a subsidized plan.


‘‘This fix comes as a relief to families who had been stuck in a difficult situation,’’ Shea-Porter said. ‘‘I'm glad CMS addressed my inquiry quickly, and I'll continue working to ensure that the Affordable Care Act works for New Hampshire families.’’


The web fix will also allow consumers to easily fix an error in their record such as a wrong birthday or Social Security number, CMS said.


Individuals shopping for insurance through the new online markets are referred to state Medicaid offices if they might qualify for the safety-net program for the poor and disabled. But the situation is more complicated for families, because in some states children can be eligible for Medicaid at significantly higher income levels than their parents.


The problems some parents faced came up at a recent meeting of New Hampshire’s Health Exchange Advisory Board.


Feds say they fixed Medicaid problem for children - News Nation - Boston.com
 
what about the kids were put on Medicaid but parents want to add them to the subsidized family plan? Thats the biggest problem.
 
that's not allowed under the law, you get what you get. don't like it pay full boar and get them an indy plan

Getting the children individual plans is what I've been doing, but at $150 per child (which includes the mandatory $47) per month, the price is very steep for families with several children.

But there's signs of hope that HHS (or some agency) is relaxing that rule which causes the healthcare.gov software to kick kids to Medicaid. The last family I enrolled that fit the KidCare-Medicaid mold, did NOT have the two children forced to Medicaid. They were included in the hc.gov subsidy calculation and added with the parents...just like it should worked since 10/1/2013. I hope that wasn't a one-timer that slipped through the government's screening mechanism.
ac
 
Getting the children individual plans is what I've been doing, but at $150 per child (which includes the mandatory $47) per month, the price is very steep for families with several children.

But there's signs of hope that HHS (or some agency) is relaxing that rule which causes the healthcare.gov software to kick kids to Medicaid. The last family I enrolled that fit the KidCare-Medicaid mold, did NOT have the two children forced to Medicaid. They were included in the hc.gov subsidy calculation and added with the parents...just like it should worked since 10/1/2013. I hope that wasn't a one-timer that slipped through the government's screening mechanism.
ac

no, that seems to be happin to me also, more correct readings
 
If children were put on Medicaid, is it now possible to EASILY add them back on their parent's policy with just a click of a button and answering a few questions? I prefer not to go through the entire subsidy qualification/enrollment process again. (Most of these families purchased 1 policy per child off-exchange at $150 each, and being able to add them to the parent(s) plan would save some of them a lot of $$$.)

I've been looking over the CMS Agent training website for a tutorial on the new "Report Life Changes" functionality, in the hope that they'd explain how to do this, but can't find anything. Sadly, it looks like the production of training materials and videos ground to a halt shortly after Healthcare.gov launched.
ac
 
If children were put on Medicaid, is it now possible to EASILY add them back on their parent's policy with just a click of a button and answering a few questions? I prefer not to go through the entire subsidy qualification/enrollment process again. (Most of these families purchased 1 policy per child off-exchange at $150 each, and being able to add them to the parent(s) plan would save some of them a lot of $$$.)

I've been looking over the CMS Agent training website for a tutorial on the new "Report Life Changes" functionality, in the hope that they'd explain how to do this, but can't find anything. Sadly, it looks like the production of training materials and videos ground to a halt shortly after Healthcare.gov launched.
ac

And your point... Just go click the green life change button and service the client....we sometimes must use our instincts and experience and do what we do, come on man.
 
Another agent I work with did an app with a family of 5 under the 150% FPL (income was $32k) here in NC. All 3 kids were offered coverage and not kicked to Medicaid.


This was a fresh app, not sure about adding them back on.
 
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