A Look at the Affordable Care Act: Medicaid Expansion

A Look at the Affordable Care Act: Medicaid Expansion

Each month AssuredPartners NL will discuss a different aspect of the Affordable Care Act. Click here for more Affordable Care Act blogs.   

The Affordable Care Act, enacted in 2010, brings significant changes to health care coverage and administration. The health care reform legislation expands Medicaid program coverage, Read on to learn about the Medicaid expansion reforms that could begin impacting you within the next few months:

Medicaid Expansion
Originally, the Affordable Care Act sought to expand Medicaid eligibility nationwide by including almost all adults under 65 with family incomes up to 133 percent of the federal poverty level. However, the Supreme Court ruling left the decision regarding Medicaid expansion to each state. States electing not to expand Medicaid coverage will continue to receive the full federal contribution for citizens who were already eligible for Medicaid coverage. States that expand Medicaid eligibility up to 133 percent of the federal poverty level will have 100 percent of the program cost covered by the federal government for the first three years. States choosing to implement partial Medicaid expansions (expansions to less than 133 percent of the federal poverty level) will not receive full federal funding.

The Supreme Court ruling releases states only from the Medicaid expansion requirement of the Affordable Care Act. States still need to coordinate Medicaid eligibility with the exchanges if they desire to stay in the Medicaid program. States must also convert the income eligibility standards for most groups to a modified gross income standard used for premium tax credit eligibility.

Map of states status on Medicaid expansion
Map of states status on Medicaid expansion

What do you think about these changes to Medicaid? Check back each month as we discuss the Affordable Care Act and what it means to you. For questions about the Affordable Care Act, contact a AssuredPartners NL representative.

This post is not intended to be exhaustive, nor should any discussion or opinions be construed as legal advice. Readers should contact legal counsel for legal advice.

*Information from Zywave

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