EE3
Automatic Enrollment
CMS-required outcome
Individuals eligible for automatic Medicaid eligibility are promptly enrolled (e.g., SSI recipients in 1634 states, individuals receiving a mandatory state supplement under a federally- or state-administered program, individuals receiving an optional State supplement per 42 CFR 435.230 , and deemed newborns). (Automatic enrollment in Guam, Puerto Rico, and the U.S. Virgin Islands is required only for individuals receiving cash assistance under a state plan for OAA, AFDC, AB, APTD, or AABD, and deemed newborns.)
Default metrics
- Percentage of individuals receiving SSI automatically eligible (1634 states only)
- Percentage of deemed newborns automatically eligible
Regulatory sources
- For states, District of Columbia, Northern Mariana Islands, and American Samoa:
- - 42 CFR 435.117
- - 42 CFR 435.909
- For Guam, Puerto Rico, and the Virgin Islands:
- - 42 CFR 436.909
- - 42 CFR 436.124