The state of the economy is driving program participation to record highs. The recession is delivering a double whammy: More individuals and families are seeking assistance at the same time that states are experiencing dramatic revenue shortfalls and reduced budgets. Staff layoffs, employee furloughs, and hiring freezes mean fewer workers are available to handle the workload.
Additionally, the Patient Protection and Affordable Care Act will cause a surge in the number of people eligible for Medicaid, the federal healthcare program for low-income families and individuals. In addition to the impact of federal healthcare reform, initiatives implemented by the states can result in increased demand for services.
These pressures are pushing states to re-examine their approach to program enrollment, including revising eligibility requirements and verification techniques. Modifying various policy options can streamline the enrollment process. Instituting paperless verification techniques, using new data sources, and managing existing information more creatively can help preserve the integrity of health and human services (HHS) programs.
Together, these strategies can help states meet today’s challenges. They can also lay the foundation for managing future healthcare reform demands while also maintaining program integrity and avoiding fraud.
