Dylan Scott is a GOVERNING staff writer.
E-mail: dscott@governing.comTwitter: @dylanlscott
Federal News
Final Rule on ACA Medicaid Expansion Released
Related Articles
- Delaware Gov. Jack Markell -- NGA's New Chair -- Talks Medicaid
- Medicaid Directors Question CMS on Supreme Court Decision
- Supreme Court Ruling: Uncertain Future for Medicaid Expansion
- Supreme Court Upholds Health-Care Law with Mandate
- CMS: State Medicaid Spending Outpaces National Averages
- If ACA is Overturned: What Happens to Medicaid?
- Supreme Court to Vote on Health Law Today
- Supreme Court Possibly Divided on Medicaid Expansion
- HHS Releases Final Rule on State Health Insurance Exchanges
- State Medicaid Spending
- States Turn to Technology to Improve Medicaid and CHIP Programs
The U.S. Department of Health and Human Services (HHS) released Friday its final rule on the expansion of Medicaid under the Affordable Care Act (ACA).
The rule finalizes the new eligibility parameters for Medicaid and outlines what states must do to incorporate the program into the health insurance exchanges that they must also establish as part of the ACA.
Under the rule, states can choose two ways to utilize the exchange to determine who's eligible for Medicaid in the expansion:
- The exchange can make a final determination on Medicaid eligibility based on the information provided by the user;
- The exchange can make a preliminary determination based on the user’s information and then direct the user to the state Medicaid office for a final decision.
The rule also dictates what criteria states will use to determine Medicaid eligibility. It will be based on Modified Adjusted Gross Income (which amends adjusted gross income with a number of exceptions such as student loan interest or tuition expenses, according to the Internal Revenue Service) and consolidates individuals into four groups: adults, children, parents and pregnant women.
States are expected to modernize their eligibility verification process by utilizing electronic data sources, and the federal government will assist that effort by giving states access to a “hub” with federal data sources, such as the Social Security Administration and the Department of Homeland Security.
The ACA requires states to expand Medicaid coverage to all individuals and families within 133 percent of the federal poverty level ($14,856 for an individual; $30,656 for a family of four). HHS will provide 100 percent of the funding for newly eligible enrollees until 2016, and then that match decreases to 90 percent by 2020.
HHS said final rules on the federal Medicaid match under the ACA are still being produced.
The department released the fact sheet below to explain the rule.
If you enjoyed this post, subscribe for updates.
- Most Viewed
- Comments
-
- Congress Passes Highway, Transit Bill
"$util.encode.html($string.substring($comment.comment,0,$space))..." - Obama Proposes $75 Billion for Universal Preschool
"There are numerous studies from decades of research of early childhood education that..."
- Congress Passes Highway, Transit Bill
Latest from Federal News
- Supreme Court to Reexamine Church-State Separation at Government Meetings
- The Supreme Court has agreed to revisit the issue of church-state separation and decide whether a town council can begin most of its monthly meetings with a prayer from a Christian pastor.
- Obama Declares Oklahoma Tornado a Major Disaster
- At least 51 people were killed when a massive tornado blasted through central Oklahoma, flattening neighborhoods and destroying two elementary schools. The grim work of search, rescue and recovery continues today.
- Federal-Run Health Exchanges Won't Mirror Massachusetts'
- Massachusetts, which served as the model for Obamacare, conducts competitive bidding to promote cost-efficient plans in its exchange. But in the 34 states where the federal government will be running the exchange, the government has decided to permit any plan to qualify that meets a minimum set of standards set by the law.
- Alaska Pushes Feds on Arctic Drilling
- Alaskan officials are hoping to prod the federal government into measuring the amount of oil and gas beneath the Arctic National Wildlife Refuge and are offering state money as part of their plan to push the project forward.
- Air Service in Steep Decline at Small and Mid-Sized City Airports
- The days of numerous flights from the nation’s small, medium and large airports are over.
GOVERNING Data
- Average Hospital Cost By State
- Map shows data for average hospital charges, by state, for treatment of various conditions.
- Youth Unemployment Rate, Figures by State
- U.S. County Population Change Map: 2010-2012
- International Migration: U.S. Cities and Metro Area Populations
- Same Sex Marriage Map: State Laws
- 2012 Population Estimates for Metro Areas
Twitter
Facebook
LinkedIn
YouTube
Flickr
RSS
© 2011 e.Republic, Inc. All Rights reserved. |