Looking Ahead to 2014

1. Looking Ahead to 2014 • Open enrollment for coverage through Exchanges starts October 1, 2013. Enrollment into Exchange coverage begins October 1, 2013; coverage begins January 1, 2014. • States face the decision on whether to adopt the Medicaid Expansion. States can implement the Medicaid Expansion beginning January 1, 2014; however, states can opt in or out of the expansion at any time. • Integrated enrollment process for Medicaid, CHIP, and Exchange coverage.Coordination with exchanges important for providing “no wrong door” to coverage and preventing coverage gaps.The ACA will simplify and streamline the Medicaid enrollment experience, regardless of state decisions to expand. • States continue delivery system reform efforts to strengthen primary care and care coordination. The ACA promotes improved access to care by increasing payments to primary care physicians in Medicare and Medicaid, supporting strategies to increase the number of primary care and other providers, and providing opportunities to better coordinate care for high-need populations.