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Starting October 1, 2013, open enrollment for health coverage through Exchanges begins, with coverage effective January 1, 2014. States face the decision to adopt Medicaid Expansion, allowing them to opt in or out at any time from January 1, 2014, onwards. The ACA aims to create an integrated enrollment process for Medicaid, CHIP, and Exchange coverage, ensuring a "no wrong door" experience and reducing gaps in coverage. Additionally, states are reforming delivery systems to enhance primary care access by increasing physician payments and improving care coordination for high-need populations.
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Looking Ahead to 2014 • Open enrollment for coverage through Exchanges starts October 1, 2013. Enrollment into Exchange coverage begins October 1, 2013; coverage begins January 1, 2014. • States face the decision on whether to adopt the Medicaid Expansion. States can implement the Medicaid Expansion beginning January 1, 2014; however, states can opt in or out of the expansion at any time. • Integrated enrollment process for Medicaid, CHIP, and Exchange coverage.Coordination with exchanges important for providing “no wrong door” to coverage and preventing coverage gaps.The ACA will simplify and streamline the Medicaid enrollment experience, regardless of state decisions to expand. • States continue delivery system reform efforts to strengthen primary care and care coordination. The ACA promotes improved access to care by increasing payments to primary care physicians in Medicare and Medicaid, supporting strategies to increase the number of primary care and other providers, and providing opportunities to better coordinate care for high-need populations.
