Phase 2 Express Enrollment for Medicaid-One Person Category 08 SNAP Households

Helping Families. Supporting Communities. Empowering Individuals.

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03/18/14

Action Memo

Summary:

  • Effective January 1, 2014, the Affordable Care Act (ACA) and recent state legislation provided that childless adults who are age 19-64 and not disabled may qualify for medical benefits. Some of the applications referred to Illinois from the Federally Facilitated Marketplace (FFM) included applications for this new group.
  • Many of those adults who are currently receiving Supplemental Nutrition Assistance Program (SNAP) benefits only, are eligible for medical benefits. A simple process to enroll a large number of people quickly without disruption to our local offices and without the customer having to go through the regular application process has been developed.
  • Illinois received special approval to offer an express enrollment for medical to adults who receive only SNAP benefits.
  • Express enrollment targets Category 08 SNAP one person households with adults age 19 through 64 whose gross income is at or below 130% FPL.
  • Beginning the week of February 10, 2014, SNAP households for which an FFM application was received with an Item 24 expiration date of March 2014 or later will be centrally enrolled for Medicaid. 
  • Applications are being stored in Content Management and will be available for review if needed. 
  • Region 4 staff will process all the applications. To process an application, run a clearance to ensure the applicant is a one person Category 08 case and not currently active for medical, including CountyCare.
  • When determined eligible for medical benefits, the existing case information is used to change the case from a Category 08 to a Category 94.
  • Upon approval, a medical card is mailed to the customer and coverage begins 01/01/2014.
  • Upon approval, Form 360C is produced showing medical eligibility as of the month of application.
  • Form 2807 is mailed to the customer notifying them of their new SNAP availability date. They continue receiving SNAP benefits on their current Link card.

What is Phase 2 of Express Enrollment?

Effective January 1, 2014, the Affordable Care Act (ACA) and recent state legislation provided that childless adults who are age 19-64 and not disabled may qualify for medical benefits. Some of the applications referred to Illinois from the Federally Facilitated Marketplace (FFM) included applications for this new group.

Many of those adults who are currently receiving SNAP benefits only, are eligible for medical benefits. A simple process to enroll a large number of people quickly without disruption to our local offices and without the customer having to go through the regular application process has been developed. Illinois received special approval to offer an express enrollment for medical to adults who receive only SNAP benefits. Express enrollment targets Category 08 SNAP one person households with adults age 19 through 64 whose gross income is at or below 130% FPL. Beginning the week of February 10, 2014, SNAP households who filed an application with the FFM and that have an Item 24 expiration date of March 2014 or later will be centrally enrolled for Medicaid. Applications will be referred to and processed by Region 4. Most cases will be eligible based on their current SNAP eligibility.

Who Is Included in Phase 2 of Express Enrollment?

One person Category 08 cases with an Item 24 date of March, 2014 or later are referred to Region 4 unless:

  • the person is active on a medical case (excluding local office 193, 194, and 195).

Action by Designated Staff Processing the Applications

Do not register an application.

Eligibility and Processing the Application

Staff must run a clearance to ensure the applicant is a one-person Category 08 case and not currently receiving medical benefits (including CountyCare).

Approving Applications

To approve the application, Region 4 staff must enter the existing Category 08 case number in IPACS, using TA 40/TAR P5. A special screen has been developed and special procedures are required to access the IPACS screen using the TA 40/TAR P5.

The TA 40/TAR P5 will transfer the case to a Category 94 with a K in Item 25. All SNAP coding will be transferred to the 94 case including Item 73 (SNAP E & T coding). They will continue receiving SNAP benefits on their current Link card.

Approval Notices

The following notices are generated when the TA 40/TAR P5 is processed:

Notice of Decision on Your Application (Form 360C) is centrally produced showing medical eligibility as of 01/01/2014. A medical card is mailed to the customer upon approval.

Notice About Change in Availability Date (Form 2807) is mailed to the customer notifying them of their new SNAP availability date.

Mobius Reports

Report #R8451075-01, "SNAP Cases Enrolled in Medical", is available in Mobius.

[signed copy on file]

Michelle R. B. Saddler

Secretary, Illinois Department of Human Services

Julie Hamos

Director, Healthcare and Family Services

Forms referenced:

  • Form 360
  • Form 2807