Today, Medicaid faces unique threats, and these threats are happening largely below the radar screen. So far, we have succeeded in averting multiple attempts to erode Medicaid as we know it through federal legislation, but efforts to undermine coverage continue through legally questionable regulatory actions and destructive Medicaid waivers. These Medicaid waivers have the potential to have a profound impact on children, families, and their oral health coverage.
Explains what Medicaid Section 1115 waivers are and how advocates can take advantage of new rules that give them a bigger voice in the waiver process.
What are uncompensated care pools (also known as a “low-income pool” in Florida)? And why are they getting attention now? This short analysis explains what these pools are and how they relate to the CMS process of approving Medicaid Section 1115 waivers.
Congress Should Vote to Make Permanent Two Federal Programs Benefitting Low-Income Families and Individuals
Unless Congress acts quickly, funding for two federal health programs that are critical to low-income families will expire on March 31. Both the Qualified Individual (QI) program and the Transitional Medical Assistance (TMA) program are integral to providing health care to families transitioning from welfare to work and to helping low-income seniors pay their Medicare monthly premiums. Making both programs permanent is the best way to ensure that these small but important programs continue to meet the needs of the individuals who rely on them.
Explains three reasons why states should use data from SNAP (formerly known as food stamps) data to enroll adults in Medicaid without requiring a full application.
Medicaid Alternative Benefit Plans: What States Should Consider When Designing Coverage for the Expansion Population and the Role for Advocates
Examines issues states should consider when designing benefit plans for people who are newly eligible for Medicaid; outlines opportunities where advocates can engage in the process.
Lays out options for states determining benefit packages (called Alternative Benefit Plans) for those who are newly eligible for Medicaid, including key factors states should consider when designing these benefits.
Learn how the Affordable Care Act allows states to expand Medicaid by purchasing coverage for enrollees through the health insurance marketplaces using federal funds
A quick reference chart that outlines required and optional changes to Medicaid that make the eligibility process for applicants more streamlined and consumer-friendly.
Explains the two ways states can change their Medicaid programs, including an at-a-glance comparison chart; discusses what advocates should do based on which option their state uses.