Table 1.
States with Approved State Plan Amendments for ELE as of January 2012
| State | Health Program | Express Lane Program(s) | Actual ELE Implementation Date | Date as Modeled (Fiscal Quarter, Year) | No. of Post-ELE Quarters |
|---|---|---|---|---|---|
| Alabama I | Medicaid | SNAP; TANF | 10/1/2009 | Q1 2010 | 8 |
| Alabama II | Medicaid | SNAP; TANF | 4/1/2010 | Q3 2010 | 6 |
| Georgia | Medicaid and CHIP | WIC | 1/1/2011 | Q2 2011 | 3 |
| Iowa | Medicaid and CHIP | SNAP; Medicaid* | 6/1/2010 (SNAP); 7/1/2010 (Medicaid) | Q4 2010 | 5 |
| Louisiana I | Medicaid | SNAP | 2/10 for applications; 10/10 for renewals | Q2 2010 | 7 |
| Louisiana II | Medicaid | SNAP | 12/9 for applications; 10/10 renewals | Q1 2010 | 8 |
| Oregon | Medicaid and CHIP | SNAP; NSLP (pilot) | 8/1/2010 for SNAP†; 11/11 for NSLP | Q4 2010 | 5 |
| South Carolina | Medicaid | SNAP; TANF | 4/1/2011 | Q3 2011 | 2 |
| New Jersey | Medicaid and CHIP | State income tax; NSLP (pilot) | 5/1/2009 | Q3 2009 | 10 |
| Maryland I | Medicaid | State income tax | 5/1/2008 (tax-based outreach) | Q1 2009§ | 12 |
| Maryland II | Medicaid | State income tax | 4/1/2010 (tax-based ELE) | Q3 2010 | 6 |
Note. For states with two rows, the first row corresponds to the implementation date used for the main analysis, and the second row corresponds to the sensitivity analysis date. Federal fiscal year quarters are as follows: first quarter, October 1 through December 31; second quarter, January 1 through March 31; third quarter, April 1 through June 30; and fourth quarter, July 1 to September 30.
This program uses one-way Medicaid-to-CHIP ELE referrals. There are no CHIP-to-Medicaid ELE referrals. ELE is used for redeterminations that result in a child being transferred from Medicaid to CHIP.
The SNAP initiative was effective statewide in September 2010 but approved by CMS in August.
‡New Jersey's ELE program is authorized for applications and renewals, but officials claim ELE has been used only for initial applications at this point (Hoag et al. 2012).
Maryland's tax-based outreach program was implemented in May 2008, but applications were not sent out until September.
CHIP, Children's Health Insurance Program; ELE, Express Lane Eligibility; NSLP, National School Lunch Program; SNAP, Supplemental Nutrition Assistance Program; TANF, Temporary Assistance for Needy Families; WIC, Special Supplemental Nutrition Program for Women, Infants and Children.
Source: Analysis of CHIP and Medicaid State Plan Amendments, Centers for Medicare & Medicaid Services.