Medicaid Bonus Payment Calculator

Is your state eligible for millions of dollars in bonus payments from the Federal government?

The Lewin Group’s Medicaid Bonus Payment Calculator is a tool that allows a state to estimate the potential bonus available under the Children’s Health Insurance Program Reauthorization Act of 2009 (CHIPRA) if the state meets certain Medicaid enrollment targets. The tool uses data from a number of publicly available sources, as well as data that you provide, to show what kinds of opportunities may be available to your state.

You can use this tool to observe how different scenarios might affect the funding available and design your strategy to maximize your state’s Medicaid and CHIP programs.



We will also be holding a free webinar to demonstrate the calculator and discuss the types of options and design challenges that states should consider in implementing enrollment and eligibility reforms. Sign up for The Lewin Group’s free Medicaid bonus program webinar, to learn more about the calculator and issues surrounding the CHIPRA program.

Will my state receive bonus payments?

Congress appropriated $3.2 billion for bonus payments to states, with payments beginning in the first quarter of fiscal year 2010 (additional amounts may be available if there are other unspent CHIP appropriations). The funding levels are intended to be sufficient to reward states that make significant investments in enrollment and retention. Get started with the Lewin Medicaid Bonus Payment Calculator.

How does my state qualify?

There are two general criteria to qualify for bonus payments. First, states must demonstrate increases in Medicaid (not CHIP) enrollment in fiscal year 2009 and future years that exceed a baseline amount trended forward.

What are the implications?

The implications of each policy on enrollment, cost, and program administration vary, and should be taken into account when considering which policies to adopt.




For more information, please contact Kathy Kuhmerker at 703.269.5592, kathy.kuhmerker@lewin.com.
Moving Forward

How does my state move forward?

Assess the potential. Use the calculator to assess the amount of funding that may be available to your state.
 
Review the options. Consider the eligibility and enrollment activities described in the CHIP bill. These options have different costs and benefits, and each has a different potential for improving enrollment and retention. Lewin can help your state evaluate the options, estimate potential costs, and model enrollment impacts.
 
Execute effectively and efficiently. Eligibility and enrollment activities require thorough implementation to streamline the application and renewal processes to meet required enrollment thresholds for the bonus payments. Lewin has a long history of helping states streamline eligibility and enrollment activities and gaining stakeholder support.
“[The Lewin Group project manager] was a great asset in brainstorming about policy options.... It was great to have a knowledgeable manager to bounce ideas and options for discussion as an aid to setting project priorities. It was also good to benefit from Lewin’s nationwide experience….”   STATE MEDICAID AGENCY

“We did it! We could not have done it without you. Your help and support were invaluable. You were always there when we needed you.”   STATE MEDICAID AGENCY