Are you ready for the end of the COVID-19 Public Health Emergency (PHE)?

Offering a Better Way to Work

With Medicaid and CHIP enrollment figures at a record high and the return to normal eligibility and enrollment operations looming, you probably are looking for ways to gain access to current data sources that can help improve the renewal and eligibility determination processes. This is where we can help, with enhanced automation and timely data that your team can use to reduce churn and maintain continuity of coverage during the PHE transition period.

• Income and Employment: Current income and employment data furnished directly by employers and payroll providers each time an employer processes payroll. The Work Number^® includes current data from more than 2.5 million employers across the country, varying in size and industry. With over 135 million active employee records available via The Work Number, there is no other commercial data provider that offers instant access to this volume of payroll records.
• Address: Current address information not only helps government agencies verify eligibility and communicate with clients, it also helps align households to the appropriate administering offices and regionalized providers.
• Incarceration: Access to jail and prison data that includes over 90% of the nation’s incarcerated population can help ensure continued access to healthcare upon release and assist states’ compliance with the Medicaid inmate exclusion policy. Appriss Insights, an Equifax Company, provides timely and expansive geographic coverage of incarceration data through its Incarceration Intelligence solution. This tip-and-lead data is focused on current custody status with booking and release data updated in near real-time that can alert an agency to further verify a beneficiary's or applicant’s incarceration status.

Stop the swivel between systems

Equifax can help streamline the processes for renewals and transferring individuals to the federal or state Marketplace if their Medicaid or CHIP eligibility status has changed. The Equifax solutions can help improve caseload management throughout the lifecycle of an individual or family’s interaction with Medicaid/CHIP agencies and insurance Marketplaces. Additional potential benefits include:

• Help complete initial determinations with current income and employment data, and without having to collect this information directly from the applicant or beneficiary
• Facilitate automated ex parte renewals when an individual or family’s income hasn’t changed, or when it has fallen (due to job loss or reduction in hours)
• Help prepopulate renewal forms with current employment and income information
• Prevent gaps in health coverage and administrative burdens that occur when a client doesn’t report an address change, and required forms aren’t returned on time
• Eliminate unnecessary and numerous communications with the client by increasing the number of automated renewals
• Reduce administration costs by identifying individuals that are Medicaid eligible at the point of first contact rather than weeks, possibly months late