Dec. 4—The transfer of full enrollment data from the federal marketplace to state Medicaid agencies has not yet occurred, and it is unknown when it will begin, according to state officials.

The federal marketplace, or exchange, which serves as the central application hub for both private insurance and Medicaid eligibility under the Affordable Care Act (ACA), has yet to transfer full “applicant accounts” of those who have applied for coverage and were found Medicaid eligible, according to the National Association of Medicaid Directors (NAMD). Officials at the Centers for Medicare & Medicaid Services (CMS) have previously said data transfers would begin in November, but the NAMD reported this week that it remains unknown when those transfers from the deeply flawed federal marketplace to state agencies will begin.

States continue to test “account transfer technology with CMS,” according to the NAMD’s weekly update. The federal exchange has begun to send a limited “flat file” of applicant information to begin the Medicaid enrollment process. But enrollments cannot be completed without the full applicants’ data, according to health policy experts.

On Nov. 29, CMS issued guidance allowing states to apply for a waiver to use an “enhanced” flat file to determine Medicaid eligibility.

“At this time, it is not clear exactly how the file will be enhanced, when it will be available, and how issues of program integrity will play into each state’s decision regarding this waiver option,” the update noted.

Publication Date: Wednesday, December 04, 2013