This performance measure is important because it tracks the unit’s timely processing of applications.

This metric will allow HAEEU to track how well we are maintaining timely processing of applications as we re-start pre-public health emergency activities (such as income verifications).  The Center for Medicare & Medicaid Services (CMS) requires applications to be processed to completion, which also means enrollment within 45 days.  This also includes handling verifications that would hold up enrollment. For Medicaid for Children and Adults (MCA), that would be Modified Adjusted Gross Income (MAGI) income. It does not include post-enrollment verifications like immigration or citizenship.

As you can see from the trendline above, HAEEU maintained a high % of applications processed within 45 days during the Public Health Emergency (PHE). This is since due to the PHE several processes we normally complete (annual renewals, follow-up verifications) were placed on hold.  This allowed us to focus more resources on processing applications.

When financial renewals are reinstated, we expect the completion percentage to decrease.  This is because staff will not only be processing new applications (what this metric measures) but will also be reviewing and completing verifications for the existing population.  This increased work volume will impact the ability to complete all new applications within 45 days.  Tracking this metric provides the opportunity to shift resources as needed.

Last updated: 02/10/23