Medicaid Expansion Toolkit

As state health care leaders look to leverage new opportunities to expand Medicaid in 2019, Families USA’s Medicaid Expansion Leadership Team (MELT) is developing resources and guides to assist state health care leaders and policy makers in understanding the value of increasing health care coverage for the uninsured. Families USA has produced an initial resource, the Medicaid Expansion Toolkit, for state health care leaders to use to implement Medicaid expansion in states. The toolkit includes the fact sheets below. Additional resources will be added to the toolkit on an ongoing basis:

• State Plan Amendment Approval Time Frames. This analysis summarizes the State Plan Ammendment (SPA) approval process and identifies where delays in the process might occur.
• State Plan Amendment vs Medicaid 1115 Waiver Process and Timelines. This fact sheet provides advocates and policymakers a step-by-step overview comparing the approval process and timeline to get a SPA vs. Medicaid 1115 Waiver approved.
• Options to Generate the State Share of Medicaid Expansion Costs. This fact sheet provides an analysis of the various strategies states utilize to generate the state share – the 10 percent – of the costs of expanding Medicaid.
• The Impact of Medicaid Expansion on State Budgets. This analysis synthesizes the areas where Medicaid expansion at the enhanced federal match has generated state savings across multiple budget areas, offsetting most or all of the state’s share of expansion costs.
• Partial Expansion Does Not Really Close the Coverage Gap: The Impact of Individual Market vs. Medicaid Expansion Coverage for 100-138% FPL Population. This analysis highlights the coverage and financial burden that non-elderly adults between 100-138% of the Federal Poverty Level experience when enrolled in individual market coverage compared to coverage under Medicaid expansion. We show that Marketplace coverage is simply not adequate or appropriate for near poor individuals and families.