Your Source for Health Reform

Topic: Medicaid

Medicaid is a state-run program that provides medical coverage for low-income populations. Traditionally, families with children, pregnant women, children, seniors, and persons with disabilities have been eligible. The Affordable Care Act broadened eligibility to low-income adults without children in states that chose to implement the expansion.

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The ACA and Section 1115 Medicaid Demonstration Waivers

This Kaiser Family Foundation brief explains Section 1115 Medicaid Demonstration Waivers under the Affordable Care Act. States have obtained or are seeking approval through Section 1115 waivers to implement Medicaid expansion in ways that extend beyond the flexibility provided by the law. Section 1115 Medicaid demonstration waivers provide states with a way to test approaches in Medicaid that differ from federal program rules. States are still accessing enhanced federally matched funds.

Eligible Uninsured Latinos

This February 2014 ASPE research brief from HHS details demographics, Medicaid eligibility, and financial assistance eligibility of eligible uninsured Latinos.

Medicaid Health Homes and Patient Centered Medical Homes

This fact sheet from SAMHSA compares and contrasts Medicaid Health Homes and Patient Centered Medical Homes. Health and Medical Homes are both coordinated care models intended to assist in managing complex care.

Defining Households for Medicaid and Premium Tax Credits

This August 2013 presentation from the Center on Budget and Policy Priorities explains why household size and composition matter in determining eligibility for Medicaid and for subsidies under the ACA. The rules for how this is done are illustrated with some simple examples.

How Will Illinois’ Uninsured Fare Under the ACA?

This analysis by the Kaiser Family Foundation provides a breakdown of how many uninsured people are eligible for Medicaid or for financial assistance to help them buy private insurance in the new Marketplace, and how many may gain new coverage but will not receive any financial assistance. It also estimates how many uninsured residents are undocumented immigrants and therefore are ineligible for any coverage under the ACA. (more…)

Modified Adjusted Gross Income under the ACA

This July 2914 tip sheet from the UC Berkeley Labor Center explains how the MAGI will be calculated for ACA purposes and summarizes relevant federal regulations.

Medicaid Expansions: the Impact by Race and Ethnicity

This July 2013 issue brief from the Kaiser Commission on Medicaid and the Uninsured examines the impact of current state Medicaid expansion decisions on coverage. (more…)

Post DOMA Impact on Medicaid

This fact sheet describes the changes to the program flowing from the Supreme Court’s historic ruling. It explains the changes starting in 2014 if your state recognizes your marriage; if you are in a civil union or registered domestic partnership and your state recognizes your relationship; and if you live in a state that doesn’t recognize your relationship. (more…)

Five Key Facts: Veterans and Medicaid Expansion

Not all veterans have access to health care via the VA, and uninsured veterans have a disproportionate amount and complexity of medical needs. This March 2013 fact sheet from the National Health Law Program describes how Medicaid expansion can improve veterans’ access to care.

Illinois Medicaid Expansion – SB26/HB106

This is the January 2013 summary of SB26/HB106 by sponsors Rep. Sara Feigenholtz and Sen. Heather Steans of the legislation authorizing the state to fund provide healthcare under Medicaid to about 342,000 low-income uninsured Illinois citizens. (more…)

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