Medicaid Expansions

This template, prepared by Manatt Health Solutions, is intended to assist states in evaluating the options with respect to transitioning certain Medicaid and state-funded populations and programs into a post-ACA coverage environment.

On November 1, 2012, the Centers for Medicare & Medicaid Services (CMS) released final regulations regarding a Medicaid primary care rate increase to Medicare levels for 2013 and 2014 – a provision that is intended to encourage greater provider participation in Medicaid. This technical assistance brief reviews the final regulatory language and identifies key questions and operational steps states should consider in implementing this provision.

This analysis provides national as well as state-by-state estimates of the impact of ACA on federal and state Medicaid costs, Medicaid enrollment, and the number of uninsured. Overall state costs of implementing the Medicaid expansion would be modest compared to increases in federal funds, and some states are likely to see small net budget savings.  

The Center for Medicaid and CHIP Services sent out a letter to State Medicaid Directors providing guidance on Medicaid benchmark benefit coverage options, which will now be referred to as “Alternative Benefit Plans.”

SHARE grantee David Idala, Director of Medicaid Policy Studies at The Hilltop Institute at the University of Maryland, Baltimore County, released a final report from his SHARE-funded evaluation of Maryland’s effort to identify and enroll eligible children in Medicaid and CHIP using information from state tax forms.

This Policy Update provides a summary of the final regulation released by the Centers for Medicare and Medicaid Services governing the implementation of the Medicaid primary care rate increase to Medicare levels for 2013 and 2014. It highlights select provisions for states to consider when planning implementation.

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.

This report analyzes the fiscal impacts of Medicaid expansion in Mississippi. The author projects that Medicaid expansions will initially pay for themselves, but they will pose additional fiscal burdens to the state beginning in 2017 through 2020.

The Center for Healthcare Research & Transformation and the University of Michigan released a report indicating that if Michigan were to pursue the Medicaid expansion, the State could bring coverage to nearly 620,000 individuals and see savings of $1 billion over 10 years, net of the cost of expansion.
 

This report presents the findings of the Kaiser Commission on Medicaid and the Uninsured (KCMU) and Health Management Associates (HMA) annual budget survey of Medicaid officials in all 50 states and the District of Columbia. It provides an overview of changes in reimbursement, eligibility, benefits, delivery systems, and long-term care, as well as state-by-state information.