Express Lane Eligibility for Medicaid and CHIP Coveragedata.medicaid.gov | Last Updated 18 Jan 2019
States may rely on eligibility information from "Express Lane" agency programs to streamline and simplify enrollment and renewal in Medicaid and CHIP. Express Lane agencies may include Supplemental Nutrition Assistance Program (SNAP), School Lunch programs, Temporary Assistance for Needy Families, Head Start, and the Women, infant, and children's program (WIC) , among others. States can also use state income tax data to determine Medicaid and CHIP eligibility for children.
This dataset has the following 10 columns:
|Column Name||API Column Name||Data Type||Description||Sample Values|
|State||state||text||Full state name. The term state includes the 50 states and the District of Columbia|
Marylandview top 100
|CHIP||chip||checkbox||Indicates states that rely on express lane agency programs (such as the Supplemental Nutrition Assistance Program) to facilitate Children’s Health Insurance Program (CHIP) enrollment and renewal|
trueview top 100
|Medicaid||medicaid||checkbox||Indicates states that rely on express lane agency programs (such as the Supplemental Nutrition Assistance Program) to facilitate Medicaid enrollment and renewal|
falseview top 100
|Approved||approved||calendar_date||Date of Express Lane approval|
2010-09-28T00:00:00view top 100
|Effective||effective||calendar_date||Date Express Lane is effective|
2010-08-01T00:00:00view top 100
|Agency||agency||text||The express lane agency that the state relies on to facilitate enrollment in CHIP and Medicaid|
SNAP & TANF
SNAP & NSLP
NSLP Division Taxation
Office of the Comptrollerview top 100
|Initial Determination||initial_determination||checkbox||Status of the initial determination|
falseview top 100
|Redetermination||redetermination||checkbox||Status of redeterminations/renewals|
falseview top 100
|ELE Findings||ele_findings||text||The express lane eligibility (ELE) option allows states to rely on findings from an express lane eligibility agency to facilitate enrollment and renewal in the Children’s Health Insurance Program (CHIP) and Medicaid|
Net income, family size, income disregards for both
All except alien/citizen status
SNAP - Income, SSN, age, residency, identity. NSLP-Income, age, residency, identity
Income, Budget unit, insurance, identity
State residencyview top 100
|Enrollment Process||enrollment_process||text||A description of the process that states use to enroll children in the Children’s Health Insurance Program (CHIP) and Medicaid|
Alabama submitted two Medicaid ELE SPAs. One SPA that just did redetermination was approved on 11/2/09 and another SPA for initial determination and redetermination was approved on 6/7/10. Alabama?s waiver is for enrollment of parents into their family planning waiver population using ELE findings from SNAP and TANF.
While Iowa's Medicaid program uses SNAP as the ELA, no children are enrolled in CHIP based on SNAP findings. Instead, when a child is denied Medicaid based on being over-income, the Medicaid findings and methodologies are accepted by CHIP for automatic enrollment.
Regular CHIP screen/enroll. The state auto-enrolls children based on information available.
Screen/Enroll-30% points. State finds out from NSLP whether kids receive Free Lunch or reduced Lunch. If free lunch (under 130%FPL), kids are put on Medicaid. If reduced lunch, they are temporarily put on CHIP until more income information can be gathered.
Regular CHIP screen/enroll- Families indicate on their tax return that they are uninsured and the Comptroller sends list of all those under 300%FPL to the State agency, which sends out applications. State is in discussion with us now about how to move forward using income findings from the state tax data as well.view top 100