Medicaid Expansions

This survey provides a snapshot of Medicaid and CHIP enrollment and eligibility policies and procedures and highlights the changes that states will need to make in their programs to prepare for the ACA in 2014.

This letter to state Medicaid Directors details the Affordable Care Act provisions for converting current net income eligibility thresholds to equivalent modified adjusted gross income (MAGI) thresholds in the Medicaid program and Children's Health Insurance Program (CHIP), the conversion methodology and process, and the timeframes for executing the conversions.

This report analyzes the enrollment and costs implications of Medicaid expansion in Kansas. With Kansas’s current Medicaid eligibility threshold being among the lowest in the nation, the Kansas Health Institute estimates Medicaid expansion would result in more than 240,000 individuals enrolling in Medicaid, and the cost to Kansas from 2014-2020 would be close to $519 million.

The Wyoming Department of Health released this report analyzing the costs of full Medicaid expansion, as prescribed by the ACA. It estimates that expanding Medicaid in Wyoming would insure an additional 28,200 individuals and it would save the state $47 million over six years.

This memorandum, prepared by Manatt Health Solutions, reviews a State Medicaid Director Letter released by the Center for Medicaid and CHIP Services that provides additional guidance to states on Medicaid benchmark benefit coverage options for the new Medicaid adult group.