PUBLIC BENEFITS: ELIGIBILITY/ENROLLMENT DELIVERY


The center focuses on health care access, immigrants' access to services, food and nutrition, the state's eligibility and enrollment system, and TANF.

Recent Eligibility/Enrollment Delivery Publications

Eligibility System Progress Report (07/14/2008)
Access to health care, good nutrition, and cash assistance is vital to low-income Texas families who don’t earn enough to make ends meet, particularly during economic downturns. Yet, enrolling in programs like Food Stamps and Medicaid has gotten harder over the last year due to problems with TIERSâ€"the new computer systemâ€"and a shortage in state workers that resulted from the Legislature’s failed attempt to privatize the system in 2006. Rebuilding and sustaining a viable eligibility system promises to be one of the most important challenges facing Texas in the years to come. Today, the Legislative Oversight Committee overseeing efforts to rebuild the eligibility system will hold a public hearing. The Health and Human Services Commission (HHSC) will provide a progress report and present the benchmarks that will be used in determining whether to continue implementing TIERS. In this report, CPPP outlines recommendations for HHSC to consider.

Legislative Oversight Committee on TIERS/Eligibility System to Hold Hearing on Monday, July 14 (07/11/2008)
Access to health care and good nutrition is vital to low-income Texas families who don’t earn enough to make ends meet. Yet, enrolling in programs like Food Stamps and Medicaid has gotten harder over the last year due to problems with TIERSâ€"the new computer systemâ€"and a staff shortage that resulted from a legislatively-mandated attempt by the state to privatize the system in 2006, which failed. Rebuilding a viable eligibility system promises to be one of the most important challenges facing Texas in the years to come. On Monday, July 14, the Legislative Oversight Committee overseeing efforts to rebuild the eligibility system will hold a public hearing. The Texas Health and Human Service Commission (HHSC) will provide a progress report and present the benchmarks that will be used in determining whether to continue implementing TIERS.

A Guide Through the Matrix of HHSC Contracting: Revised (04/14/2008)
The Texas Health and Human Services Commission has released two draft Request for Proposals related to the development and operation of an integrated eligibility system for Food Stamps, Medicaid, TANF, and CHIP. Similar to the now defunct “TAA” contract with Accenture, the RFPs ask vendors to submit their proposals for operating a system of call centers to provide “eligibility support services” for Food Stamps, Medicaid, and TANF; determine eligibility for CHIP-only cases; and provide document processing services through a centralized mail center. CPPP has prepared a contracting matrix that describes these and other major contracting opportunities with HHSC related to the delivery of health and human services, including information on the new Twogether in Texas contract award.

Child Friendly? How Texas' Policy Choices Affect Whether Children Get Enrolled and Stay Enrolled in Medicaid and CHIP (02/13/2008)
This updated report illustrates the history and consequences of Texas' policies related to children's Medicaid and CHIP, using official state program data. It also summarizes national and state research on the effects of eligibility and enrollment policies, and explains how Texas policies compare to those of other states. The report was funded by the generous support of the Texas Association of Community Health Centers.

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