Medicaid Expansions

This bulletin released by the Center for Medicaid and CHIP Services provides further information to state Medicaid and CHIP agencies on the verification plans required for both Medicaid and Children’s Health Insurance Program (CHIP) eligibility, the MAGI-based (Modified Adjusted Gross Income) Eligibility Verification Plan Template, and a review of the final verification regulations.

This brief explains various considerations for states deciding between Survey of Income and Program Participation (SIPP) and state administrative data, how to use the eligibility templates provided by CMS for the MAGI-based eligibility conversion process, and the steps that states wishing to perform the conversions using state Medicaid and CHIP data will need to follow.

In this Medicaid FAQ document, the Centers for Medicare and Medicaid Services (CMS) addresses questions related to various Medicaid topics, including basic health plans, federal medical assistance percentages (FMAP), transitioning to modified adjusted gross income (MAGI), and children’s coverage. Of particular note, CMS announced the basic health plan will not be an option for states until 2015.

The Centers for Medicare and Medicaid Services (CMS) released proposed rules explaining the ACA’s shared responsibility provision and the process for determining eligibility for and granting certificates of exemption from the shared provision.

HHS released joint Medicaid and exchange proposed rules addressing appeals and notices, eligibility and enrollment, Alternative Benefit Plans, and Medicaid cost-sharing.