Monday, December 10, 2012

Feds to states: No new deadline on exchange question, no dice on partial Medicaid expansion

Posted By on Mon, Dec 10, 2012 at 5:16 PM

The U.S. Department of Health and Human Services today issued a letter clarifying a number of questions about the health-insurance exchanges and Medicaid expansion. There’s a lot to unpack, but a few highlights:

1) There will be no extension on the Dec. 14 deadline for states to decide whether they want to run their own exchange starting this year. States may apply at any time to run an exchange in future years.

2) There is no deadline for the Medicaid-expansion decision. However, those generous federal matching rates are only available in the coming years:

While states have flexibility to start or stop the expansion, the applicable federal match rates for medical assistance provided to “newly eligible individuals” are tied by law to specific calendar years outlined in the statute: states will receive 100 percent support for the newly eligible adults in 2014, 2015, and 2016; 95 percent in 2017, 94 percent in 2018, 93 percent in 2019; and 90 percent by 2020, remaining at that level thereafter.

3) States that say YES to Medicaid expansion can drop out of the expansion program down the road.

A state may choose whether and when to expand, and, if a state covers the expansion group, it may decide later to drop the coverage.

4) States will NOT get the generous federal matching rates via partial expansion.

No. Congress directed that the enhanced matching rate be used to expand coverage to 133% of FPL. The law does not provide for a phased-in or partial expansion. As such, we will not consider partial expansions for populations eligible for the 100 percent matching rate in 2014 through 2016.

Tags: , , ,

Favorite

Speaking of...

Comments

Showing 1-1 of 1

Add a comment

 
Subscribe to this thread:
Showing 1-1 of 1

Add a comment

More by David Ramsey

Readers also liked…

  • Democratic Party calls for Justin Harris resignation

    The Arkansas Democratic Party today issued a statement saying Republican Rep. Justin Harris should resign.
    • Mar 6, 2015
  • Not everyone is in Tom Cotton fan club

    Conservative New York newspaper labels Tom Cotton and others "traitors" for injecting themselves into presidential diplomacy with Iran.
    • Mar 10, 2015
  • Arrest made in motorcycle robbery slaying

    The police have charge Jeramye Morgan Hobbs, 24, with capital murder in the slaying of Frank Steinsiek. He was found fatally wounded on a parking lot in the 1900 block of W. 65th Street Wednesday afternoon.
    • Feb 13, 2015

Most Shared

  • Who's harming women?

    Attorney General Leslie Rutledge is an Arkansas Republican. Thus, like the governor and the Republican-majority legislature, she intends to do everything she can to deny women comprehensive medical care, particularly abortion.
  • New normal

    No two presidential candidates since polling began have run up negatives as massive as those of Donald Trump and Hillary Clinton, who yet won their parties' nominations easily. "What gives?" may be the biggest political mystery in history.
  • Additional rape charges filed against Conway doctor

    Special Prosecutor Jason Barrett has added 11 more victims to two others alleging rape by Dr. Robert Rook of Conway.
  • Big Dam Bridge 100 brings big damn complaint about celebrity rider Hincapie

    The Big Dam Bridge 100 is this weekend and one dedicated biker isn't happy about a celebrity rider, admitted doper George Hincapie.

Most Viewed

  • Drug companies fight medical marijuana

    Disclosure about financing of the anti-medical marijuana campaign in Arkansas is so far lacking, but it's no secret what's happened in other states — pharmaceutical companies have worked to defeat medical marijuana laws because they create (safer) competition.

Most Recent Comments

Blogroll

 

© 2016 Arkansas Times | 201 East Markham, Suite 200, Little Rock, AR 72201
Powered by Foundation