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View Diary: Update: ACA Roundup: 1.83M Private, 4.0M Medicaid, My Year-End Prediction (45 comments)

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  •  Colorado's sign ups were horrid (4+ / 0-)
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    on the cusp, rsmpdx, Calamity Jean, ybruti

    our numbers were in the "worst case" scenarios. This despite a lot of early and generous funds from the feds for setting up our own plans.

    I put a lot of the blame on the way we run our state government in general. Colorado has a funny tax system and we've privatized a lot of government functions. Medicaid was is the bottle neck in our ACA signups and it's run by that private company. Maximus is it's name.

    In CO in order to sign up for our form of the ACA you had to first apply for and be rejected by Medicaid. A stupid idea, a simple test to see if you are eligible for Medicaid would have been more than sufficient. Medicaid in Colorado is very difficult to sign up for, tons of documentation, wait times on phone calls always exceed half an hour, often closer to an hour and the call can be dropped.

    Medicaid is designed to be signed up for with the assistance of a social worker from the county. Forms are in special social worker lingo. Impossible to decipher. People who were simply applying for the ACA  found it almost impossible to make it past the Maximus bottle neck. I'm astounded 40K did. Probably ten or twenty times that  number are eligible.

    We should drop the whole thing and let the feds do it. We should also take back our Medicaid from the private operator, make all systems computerized not paper based, and step on into the 21st century.  

    The IRS and SS both have web sites that are easy to interact with, I don't see why the ACA shouldn't also be a 100% federal program and Medicaid too.

    “Conservation… is a positive exercise of skill and insight, not merely a negative exercise of abstinence and caution…” Aldo Leopold

    by ban nock on Wed Dec 25, 2013 at 11:53:46 AM PST

    •  I don't know (5+ / 0-)

      I was on the phone yesterday with the Connect for Health representative and she was able to help me complete the rest of my Medicaid application. Was able to find out I was Medicaid eligible, though she said they would likely need more documentation for my wife, given she's a non citizen, in addition to finding out she's ineligible due to not being here for five years.

      •  did you get your medicaid card yet? (0+ / 0-)

        I agree connect for colorado is great, nice and helpful people, and they'll do anything they can for you, but.....

        They don't have access to the state Medicaid computer system, only Maximus and the state oversight board does. I'm glad they are now assisting with Medicaid applications, but your app still  has to go through Maximus, and good luck with that.

        About the 5 years.. that was on your sponsorship application when she initially applied to become a permanent resident. As I remember it applies to all forms of federal aid. Food stamps, school lunch, etc.

        I could figure out Medicaid eligibility in about 30 seconds myself, the income guidelines are simple. It's all the documentation for the application that was onerous. If they've dropped the need for authenticated faxes sent from county offices it sure would be a help.

        40K people signed up is very very bad no matter which way it's looked at. If they've made things easier it has been at the last minute. Until they make it easy to sign up, taking nothing more than a 1040 or a signed permission for IRS records they are not going to get the sign ups they should have. Coloradans have a huge demand for health care. We aren't being served.

        “Conservation… is a positive exercise of skill and insight, not merely a negative exercise of abstinence and caution…” Aldo Leopold

        by ban nock on Wed Dec 25, 2013 at 01:18:09 PM PST

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    •  IIRC under ACA, if one is eligible for (1+ / 0-)
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      Medicaid, one is not eligible for Federal Subsidy on private insurance through an exchange.

      Except for people who have income above the maximum income for getting a subsidy, one needs to determine Medicaid eligibility for the applications to be correctly processed.

      Having people eligible for Medicaid getting private insurance thinking they will get a subsidy, only to discover later they don't have a subsidy months or a year later will just be a mess.  Insurance companies wiil demand full payment, and the customer does not have the means to pay in full without the subsidy they were expecting.

      The most important way to protect the environment is not to have more than one child.

      by nextstep on Wed Dec 25, 2013 at 12:48:49 PM PST

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      •  no reason it has to be more difficult than the (1+ / 0-)
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        federal process is there? The feds only required answers to a few simple questions.

        “Conservation… is a positive exercise of skill and insight, not merely a negative exercise of abstinence and caution…” Aldo Leopold

        by ban nock on Wed Dec 25, 2013 at 01:19:24 PM PST

        [ Parent ]

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