States Refuse to Sign Up Enrollees Due to Incomplete Information from HealthCare.gov
By Louise Radnofsky, Wall Street Journal, Dec. 4/5, 2013

[....] In all, some 183,396 people who submitted coverage applications through HealthCare.gov were determined to be eligible for Medicaid through Nov. 2, according to data published by the Department of Health and Human Services. Many thousands more are believed to have received similar assessments in the month since then.

The department had said it was trying to find a way to send the full enrollment data to the states. But on Friday, it wrote to state health officials telling them that the function was still being tested. Meanwhile, the administration proposed sending states partial files about enrollees that the states could process if they choose.

State officials are balking at accepting partial information. In some cases, they say, HealthCare.gov may have improperly determined people are eligible for Medicaid because their income is too high or they don't meet residency requirements [....]

If states are unable or unwilling to process the files, residents who have already signed up could be left in limbo.  HealthCare.gov told people who had completed an application for Medicaid that it would be transferred to their state for completion. Federal officials couldn't immediately say whether they would take steps to contact those people to tell them that they weren't in fact enrolled in coverage [....]