NorthWest Benefits Solutions
  • Home
  • Individual & Families
    • Health Insurance Overview
    • Individual Health Insurance
    • The Federal Health Marketplace
    • Alternative Health Plans
    • Supplemental insurance
    • Critical Illness Insurance
    • Indemnity Plans
    • Dental Insurance
    • Short Term
    • Telemedicine
    • Travel Insurance
  • Senior Insurance
  • Medicare
  • Life Insurance
    • Life Insurance
    • Disability Insurance
    • Final Expense Insurance
  • Small Business
    • Small Busines
    • Group Benefits
  • Resources
    • Our Agency
    • Free Consultation
    • Insurance Carriers
    • Blog
    • Local Links
    • Privacy Policy
  • Client Testimonials

NorthWest Benefits Solutions Blog

ACA Medicaid Expansion – An Overview

3/28/2013

0 Comments

 
What is Medicaid?

Medicaid is the nation’s health insurance program for low-income individuals and families. Started in 1965, it is jointly administered and funded by the federal government and states. The federal government sets basic guidelines. The states have broad authority to modify their Medicaid programs as they see fit, as long as they meet federal guidelines.
​


ACA Medicaid Expansion – What is it?

The Affordable Care Act (ACA) called for a nationwide expansion of Medicaid eligibility, set to begin in 2014. Under health care reform law, nearly all U.S. citizens under 65 with family incomes up to 138 percent of the federal poverty level (FPL) ($15,415 for an individual or $26,344 for a family of three in 2012) will now qualify for Medicaid.
  • ACA Medicaid Expansion will particularly benefit childless adults, who in more than 40 states cannot currently qualify for Medicaid regardless of their income level.
  • It will also benefit low income parents, who in more than 30 states don’t currently qualify even if their children do.

So, for the first time, low-income adults without children will be guaranteed coverage through Medicaid in every state without need for a waiver, and parents of children will be eligible at a uniform income level across all states.

Medicaid and Children’s Health Insurance Program (CHIP) eligibility and enrollment will be much simpler and will be coordinated with the newly created Health Insurance Marketplaces.

The Congressional Budget Office (CBO) predicts that 11 million Americans will gain coverage by 2022 through Medicaid Expansion.

ACA Medicaid Expansion – Is it Still Happening?

Medicaid expansion was one of the major provisions at stake in the ACA cases decided by the Supreme Court in June 2012. The Supreme Court upheld the Medicaid expansion, but limited the federal government’s ability to penalize states that don’t comply.

So, while Medicaid expansion was originally mandatory for states, now it is optional. While some states might not participate in the expansion, given the recent Supreme Court decision, most states are predicted to eventually expand their programs.

ACA Medicaid Expansion – Who will Fund it?
​
​The federal government will fund the majority of the costs associated with ACA Medicaid expansion. For the “newly eligible population” (anyone not previously eligible in their state), the federal government will cover 100 percent of costs in 2014-16. Going forward, it will always cover at least 90 percent of the costs of the newly eligible population. States will continue to receive their standard federal contributions for “traditionally eligible” populations. This amount is different from state to state, and averages less than 60 percent.
Picture
ACA Medicaid Expansion – An Infographic

​To summarize, here’s an infographic on ACA Medicaid Expansion summarizing the decision facing each state:
Picture
0 Comments



Leave a Reply.

    Contact us

    (888) 780-7762
    Portland, OR 97219
    Click Here to Email Us

    Categories

    All
    Cover Oregon
    Disability
    Disability Insurance
    Federal Market Exchange
    Final Expense Insurance
    General Health
    General Health & Life Insurance
    Group Health Care
    Group Health Insurance
    Health
    Health Care Reform
    Individual Health Insurance
    Life Insurance
    Medicare
    Oregon Senior Health & Life Insurance
    Self Funding
    Senior Health Insurance
    Senior Health & Life Insurance
    Senior Life Insurance
    State Of Washington Health Plan Finder
    Term Insurance
    Washington State Health Exchange

NorthWest Benefits Solutions

Licensed in
​Idaho - Oregon - Washington

Navigation

Homepage
Individual & Families
Senior Insurance
Medicare
Life Insurance
Small Business
Quotes
Contact Us
Privacy Statement
Agent Login

Connect With Us

Contact Us

NorthWest Benefits Solutions
Portland, OR 97223
(888) 780-7762

Website by InsuranceSplash
  • Home
  • Individual & Families
    • Health Insurance Overview
    • Individual Health Insurance
    • The Federal Health Marketplace
    • Alternative Health Plans
    • Supplemental insurance
    • Critical Illness Insurance
    • Indemnity Plans
    • Dental Insurance
    • Short Term
    • Telemedicine
    • Travel Insurance
  • Senior Insurance
  • Medicare
  • Life Insurance
    • Life Insurance
    • Disability Insurance
    • Final Expense Insurance
  • Small Business
    • Small Busines
    • Group Benefits
  • Resources
    • Our Agency
    • Free Consultation
    • Insurance Carriers
    • Blog
    • Local Links
    • Privacy Policy
  • Client Testimonials