Medicaid Expansions

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Medicaid Expansions

Access resources specifically focused on Medicaid provisions in PPACA and other related analysis.

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  • 07/08/2013

    This rule finalizes new Medicaid eligibility provisions; finalizes changes related to electronic Medicaid and the Children’s Health Insurance Program (CHIP) eligibility notices and delegation of appeals; modernizes and streamlines existing Medicaid eligibility rules; revises CHIP rules relating to the substitution of coverage to improve the coordination of CHIP coverage with other coverage; and finalizes requirements “alternative benefit plans” to ensure that these benefit packages include essential health benefits and meet certain other minimum standards. This rule also implements specific provisions including those related to authorized representatives, notices, and verification of eligibility for qualifying coverage in an eligible employer-sponsored for exchanges. A fact sheet is available.

  • 05/30/2013

    With changes to Medicaid eligibility going into effect in January 2014, CMS has issued a letter detailing five targeted enrollment strategies that can help states with the transition to their new eligibility and enrollment systems. 

  • 05/06/2013
    Under the Medicaid program, states are eligible to receive 90 percent federal matching funds for the design and development of ACA-compliant Medicaid eligibility determination systems and 75 percent federal matching funds for maintenance and operations. This set of FAQs provides general guidelines about what costs are eligible for enhanced funding and how CMS will work with each state to review and approve the costs that will be covered.
  • 04/24/2013

    In this 2-page FAQ, CMCS reviews the premium assistance option under Medicaid. It also provides further detail for states interested in submitting demonstration proposals for providing premium assistance in the individual market.

  • 04/08/2013

    The Centers for Medicare and Medicaid Services (CMS) has issued its final rule on the increased Federal Medical Assistance Percentage (FMAP) rates under the ACA. Beginning in January 2014, the federal government will cover 100 percent of the costs of newly eligible Medicaid beneficiaries through 2016, and then it will phase down to a 90 percent match rate by 2020.