This report presents findings of a survey conducted by SHADAC of State Medicaid Directors regarding state plans for and progress made toward upgrading Medicaid eligibility systems in light of national health reform.  The purpose of this study was to delve behind the user experience of Medicaid eligibility and enrollment to better understand the technical situations and upgrade issues the states are facing. 

The survey addressed a subset of issues of import to state and federal decision makers related to state Medicaid eligibility system enhancements. The survey results provide point-in-time (winter 2012) answers from 30 study states on issues relating to preparations to address federal eligibility system reforms, use of vendors, eligibility support for individuals who qualify for other non-health related programs, including social services, food and housing assistance, and integration with Exchanges.