• People within this categorization have incomes above the eligibility limits for Medicaid set by their state of residence but fall below the federal poverty line (FPL), resulting in deficient access to affordable health insurance. (wikipedia.org)
  • Expansion of Medicaid was a key aspect of the ACA when it was signed into law by President Barack Obama in March 2010, supporting the legislation's goal of ensuring universal health care in the U.S. by raising the income threshold for Medicaid eligibility to 138 percent of the FPL among nonelderly adults. (wikipedia.org)
  • The Medicaid coverage gap includes nonelderly people with incomes that are below the federal poverty line (FPL), making them ineligible for subsidized marketplace insurance under the Affordable Care Act (ACA), but have incomes higher than their state's limit for Medicaid eligibility as their state has not adopted Medicaid expansion as prescribed by the ACA. (wikipedia.org)
  • Within the ten states that have not opted for Medicaid expansion, the median income limit for eligibility in the traditional Medicaid program is 38 percent of the FPL. (wikipedia.org)
  • The Medicaid statute also permitted states to cover some cohorts (termed "optional eligibility groups") without a permit. (wikipedia.org)
  • States can start kicking people off Medicaid on Saturday if they no longer meet the program's pre-pandemic eligibility requirements, which are based mostly on income. (cnbc.com)
  • HHS estimates that as many as 15 million people stand to lose coverage as the program returns to pre-pandemic eligibility requirements. (cnbc.com)
  • The chamber also passed House Bill 290 by Rep. Philip Cortez (D-San Antonio), which gives children on Medicaid six months of continuous coverage, plus an eligibility check that could qualify the child for an additional six months of coverage. (texmed.org)
  • The president pledged on the campaign trail to expand eligibility for Medicaid to people in mostly southern states where conservatives have refused to expand the program under the Affordable Care Act (ACA), and his administration has worked to expand health care coverage and strengthen the ACA. (truthout.org)
  • WASHINGTON - Today, Representatives Tony Cárdenas (D-CA), Amata Coleman Radewagen (R-AS), Tulsi Gabbard (D-HI), Steve Womack (R-AR), Ed Case (D-HI) and Gregorio Sablan (D-MP) introduced the Covering Our FAS Allies Act (COFA Act), a bill to reinstate Medicaid eligibility for the more than 61,000 citizens of the Freely Associated States living in the United States and its territories under the Compacts of Free Association (COFA). (apiahf.org)
  • We thank Representatives Cárdenas, Radewagen, Gabbard, Womack, Case and Sablan for correcting a nearly 25-year error, by working to restore Medicaid eligibility to COFA individuals. (apiahf.org)
  • As kids' Medicaid eligibility review gets underway, experts are concerned about the number of Ohio children losing federal health insurance. (citybeat.com)
  • The order was based on a state-by-state assessment of whether Medicaid systems could check eligibility for automatic coverage renewal at the individual level. (hfma.org)
  • They could also hamper future efforts by Republicans to make Medicaid eligibility dependent on work. (wwlp.com)
  • The state launched Pathways just as it began a review of Medicaid eligibility following the end of the COVID-19 public health emergency. (wwlp.com)
  • 6,7 After those 60 days, postpartum women receiving MPW may still be eligible for coverage under Medicaid for Families with Dependent Children (MAF), but the income eligibility is much stricter for MAF than MPW. (nciom.org)
  • This difference in income eligibility results in many low- and moderate-income women losing Medicaid eligibility after 60 days postpartum. (nciom.org)
  • North Carolina's coverage gap between Medicaid eligibility and the ACA Marketplace also leaves many women vulnerable to losing coverage in the postpartum period. (nciom.org)
  • About 500,000 people who recently lost Medicaid coverage are regaining their health insurance while states scramble to fix computer systems that didn't properly evaluate people's eligibility after the end of the coronavirus pandemic, federal officials said Thursday, Sept. 21, 2023. (live5news.com)
  • AP) - About 500,000 people who recently lost Medicaid coverage are regaining their health insurance while states scramble fix computer systems that didn't properly evaluate people's eligibility after the end of the coronavirus pandemic, federal officials said Thursday. (live5news.com)
  • Automated eligibility systems vary by state and can be technically challenging and costly to change, said Kate McEvoy, executive director of the National Association of Medicaid Directors. (live5news.com)
  • The cases of 72,802 Medicaid beneficiaries in Arkansas were closed at the end of April because they either didn't return requested information necessary to determine their eligibility or are no longer eligible for Medicaid, the Arkansas Department of Human Services reported Monday. (arkansasonline.com)
  • The closed cases include 44,667 Medicaid beneficiaries whose coverage had been extended previously because of the special eligibility rules during the federal public health emergency and 28,135 other Medicaid beneficiaries whose coverage was closed as part of normal operations, state Department of Human Services spokesman Gavin Lesnick said. (arkansasonline.com)
  • The figures reflect the first month of Medicaid eligibility re-determinations as part of the department's six-month campaign to unwind Arkansas' Medicaid rolls following the end of the continuous coverage requirement that was in effect during the federal government's public health emergency, the department said in a news release. (arkansasonline.com)
  • Among all cases due in April, 61,236 Medicaid beneficiaries had their coverage renewed after their eligibility was confirmed by the department under the normal eligibility rules, the department said. (arkansasonline.com)
  • The continuous coverage requirement during the federal public health emergency prevented the state Department of Human Services from removing most ineligible individuals from Medicaid, but normal eligibility rules resumed April 1, according to the department. (arkansasonline.com)
  • The requirement meant that no Arkansans could be removed from the Medicaid rolls for a change in income or eligibility until the federal public health emergency ended, and cases could be closed only if individuals moved out of state, died, were incarcerated or requested their coverage end. (arkansasonline.com)
  • As part of the Medicaid continuous coverage unwinding, states were required to create plans to describe how they will redetermine the eligibility of all Medicaid enrollees. (healthlaw.org)
  • People With HIV in Non-Medicaid Expansion States: Who Could Gain Coverage Eligibility Through Build Back Better or Future Expansion? (cdc.gov)
  • Our comments address suggested improvements in Medicaid enrollment and eligibility determination, transitions of coverage, national standards for access to care, and the eventual end of the public health emergency and continuous coverage provisions. (fightcancer.org)
  • This recent progress has been driven by federal and state policy actions that increased Medicaid and ACA marketplace coverage, primarily: (1) a requirement in the Families First Coronavirus Response Act of 2020 that states keep people with Medicaid coverage continuously enrolled during the COVID-19 public health emergency, in exchange for greater federal funding (2) additional states expanding eligibility for their Medicaid programs (3) enhanced marketplace premium subsidies. (nih.gov)
  • Your costs may be as low as $0, depending on your level of Medicaid eligibility. (uhc.com)
  • Under the Affordable Care Act (ACA), states have the option to expand Medicaid eligibility to nonelderly people with incomes up to 138 percent of the federal poverty level (FPL). (nih.gov)
  • In Georgia, 1 of the 12 states that has yet to expand Medicaid eligibility, some key stakeholders are considering adopting the policy. (nih.gov)
  • In an earlier report, 3.7 Million People Would Gain Health Coverage in 2023 If the Remaining 12 States Were to Expand Medicaid Eligibility (Buettgens and Ramchandani 2022), Urban researchers estimated that full Medicaid expansion in Georgia would decrease uninsurance by 448,000 people in 2023. (nih.gov)
  • However, Medicaid has no such requirement for eligibility, so these people would gain eligibility for coverage if their states were to expand Medicaid. (nih.gov)
  • Nursing facili- eligibility for Medicaid coverage of diabetic com- ties provide the majority of formal long-term care. (nih.gov)
  • A federal government website managed and paid for by the U.S. Centers for Medicare & Medicaid Services. (cms.gov)
  • Another way states are expanding Medicaid is through Section 1115 Demonstration Waivers, approved by the Centers for Medicare and Medicaid Services (CMS), which allow states to test new approaches to Medicaid in their states. (nclnet.org)
  • ARPA includes two years of full federal funding for Medicaid services provided by urban Indian and Native Hawaiian Health Centers. (nclnet.org)
  • Today, the U.S. Department of Health and Human Services (HHS), through the Centers for Medicare & Medicaid Services (CMS), approved the extension of Medicaid and Children's Health Insurance Program (CHIP) coverage for 12 months after pregnancy in Hawaii, Maryland, and Ohio. (hhs.gov)
  • The computer issues affected people in 29 states and the District of Columbia and likely included a significant number of children who should have been eligible for Medicaid at higher income levels even if their parents or caregivers were not, according to the federal Centers for Medicare and Medicaid Services. (live5news.com)
  • The American Rescue Plan Act made it easier for states to extend postpartum Medicaid coverage by allowing them to simply amend their Medicaid plans instead of applying for a full waiver from the Centers for Medicare & Medicaid Services. (physiciansweekly.com)
  • Officials at the Centers for Medicare and Medicaid Services are monitoring the unwinding process and urging state officials to go slow. (wjtv.com)
  • Resources are compiled from the Centers for Medicare & Medicaid Services (CMS) and advocacy organizations. (healthlaw.org)
  • ACS CAN submitted comments to the Centers for Medicare & Medicaid Services regarding its 2022 Request for Information on Access to Coverage and Care in Medicaid & CHIP. (fightcancer.org)
  • State and local health care spending rose by just 1.8 percent to $515 billion, according to the latest data from the Centers for Medicare & Medicaid Services (CMS), a unit of the U.S. Department of Health and Human Services. (governing.com)
  • In 2016, the Centers for Medicare and Medicaid Services announced that it would determine coverage for gender confirmation surgery on a case-by-case basis . (findlaw.com)
  • The U.S. National Library of Medicine (NLM) produces the Metathesaurus CMS Formulary Reference File (MTHCMSFRF), which is based on the Centers for Medicare & Medicaid Services (CMS) Formulary Reference File (FRF). (nih.gov)
  • Baltimore (MD): Centers for Medicare & Medicaid Services (US). (nih.gov)
  • As of March 2023[update], an estimated 1.9 million Americans in 10 states are within the Medicaid coverage gap according to the Kaiser Family Foundation. (wikipedia.org)
  • As of March 2023[update], 40 states and the District of Columbia have adopted Medicaid expansion, leaving 10 states that have not. (wikipedia.org)
  • HHS has set up a special enrollment period at healthcare.gov to help people transition to Obamacare marketplace insurance if they lose Medicaid between March 31, 2023 through July, 31, 2024. (cnbc.com)
  • Failure to comply would leave the states subject to further action by CMS, potentially including an immediate loss of enhanced federal Medicaid funding, which is being phased out during the final three quarters of 2023 following the end of the COVID-19 public health emergency (PHE). (hfma.org)
  • This photo provided by Amanda Lucas shows Amanda Lucas, right, with her father, Thomas Lucas, on Wednesday, Aug. 16, 2023, outside his home in Warner Robins, Ga. Amanda Lucas said she cannot meet the work requirement in Georgia's new Medicaid plan because she takes care of her father, who had a stroke. (wwlp.com)
  • While the freeze was in effect, Medicaid enrollment swelled by nearly one-third, from 71 million people in February 2020 to 94 million in April 2023. (live5news.com)
  • An estimated 2.2 million children in the United States have lost Medicaid coverage in 2023. (ktvq.com)
  • With some states having begun terminations of coverage as early as April 1, 2023, advocates have an important role to play in messaging and outreach to prepare enrollees to renew their coverage. (healthlaw.org)
  • States also used the 2023 legislative session as an opportunity to study system innovations to expand health coverage and affordability. (shvs.org)
  • Overall, 9.4% of the state's population enrolled for coverage through Medicaid expansion. (healthleadersmedia.com)
  • According to Kaiser Health News , Medicaid programs are required to cover almost all FDA-approved drugs, but Massachusetts is requesting a federal exemption to pick which drugs it covers based on the needs of the state's Medicaid beneficiaries. (ajmc.com)
  • And only about 4,800 - none of whom were children - were affected in Massachusetts, said that state's Medicaid director, Mike Levine. (live5news.com)
  • The department reported 28,223 of the 72,802 Medicaid beneficiaries whose cases were closed in April were in the state's Medicaid expansion program called ARHOME, 23,837 were in the ARKids A program, and 12,906 were in the parent or caretaker relative program. (arkansasonline.com)
  • South Dakota officials submitted a proposed amendment to the state's Medicaid plan in March. (physiciansweekly.com)
  • Although there are many choices states may make in unwinding and not all of those choices may be reflected in a state's plan, this paper focuses on trends most likely to impact coverage. (healthlaw.org)
  • In the context of American public healthcare policy, the Medicaid coverage gap refers to uninsured people who do not qualify for marketplace assistance under the Affordable Care Act (ACA) and reside in states that have not adopted Medicaid expansion under the ACA. (wikipedia.org)
  • Only 24 states adopted Medicaid expansion when ACA initially took effect. (wikipedia.org)
  • Among other provisions within the American Rescue Plan Act (ARPA) that aim to make health coverage more accessible, the law provides states that have not yet adopted Medicaid expansion with significant financial incentives to do so. (nclnet.org)
  • Medicaid enrollees have nearly twice the smoking rates (37%) of the general adult population (21%), and smoking-related medical costs are responsible for 11% of Medicaid expenditures ( 1 , 2 ). (cdc.gov)
  • Only eight state programs offered coverage of all recommended pharmacotherapy and counseling for all Medicaid enrollees, and 16 programs reported coverage for fee-for-service enrollees that differed from that provided for Medicaid managed-care enrollees. (cdc.gov)
  • Coverage of pharmacotherapy for all Medicaid enrollees will be enhanced by January 2014, when states no longer may exclude tobacco-dependence cessation drugs from covered benefits. (cdc.gov)
  • Monitoring the extent to which Medicaid programs place limitations on these treatments can help in evaluating accessibility of tobacco-dependence treatments to Medicaid enrollees. (cdc.gov)
  • Among the 51 Medicaid programs, 47 provided tobacco-dependence treatment coverage for some enrollees, 38 covered at least one tobacco-dependence treatment for all Medicaid enrollees, and four (Connecticut, Georgia, Missouri, and Tennessee) offered no coverage for tobacco-dependence treatment to their enrollees. (cdc.gov)
  • Coverage for all enrollees was defined as coverage that did not differ between fee-for-service (FFS) and managed-care organization (MCO) enrollees. (cdc.gov)
  • Coverage for all Medicaid enrollees was reported for the nicotine patch (34 programs), bupropion or Zyban* (33 programs), nicotine gum (32 programs), varenicline (Chantix) (32 programs), nicotine nasal spray (28 programs), nicotine inhalers (27 programs), and nicotine lozenges (25 programs). (cdc.gov)
  • Only five states (Indiana, Massachusetts, Minnesota, Montana, and Pennsylvania) reported having policies that require coverage of all recommended pharmacotherapies and individual and group counseling for all Medicaid enrollees. (cdc.gov)
  • The prevalence of current cigarette smoking is approximately twice as high among adults enrolled in Medicaid (23.9%) as among privately insured adults (10.5%), placing Medicaid enrollees at increased risk for smoking-related disease and death (1). (nih.gov)
  • State Medicaid programs that cover all evidence-based cessation treatments, remove barriers to accessing these treatments, and promote covered treatments to Medicaid enrollees and health care providers could reduce smoking, smoking-related disease, and smoking-attributable federal and state health care expenditures (3-7). (nih.gov)
  • At least 6,767,000 Medicaid enrollees have lost coverage as of September 19, although researchers say that number is likely an undercount. (truthout.org)
  • This eliminated what's known as "churn," in which eligible enrollees lose coverage on their renewal date and have to reapply for health insurance, typically with a state agency that administers Medicaid. (truthout.org)
  • The 500,000+ enrollees whose enrollment is being protected are a small share of those affected by the so-called Medicaid unwinding, which followed the end of the continuous-enrollment provision that had been in place during the PHE. (hfma.org)
  • The researchers looked only at Medicaid enrollees admitted to treatment for opioid use disorders in those states, and excluded detoxification admissions. (atforum.com)
  • Overall, 7% of all Medicaid enrollees received opioid agonist therapy in states with no methadone coverage, compared to 46.6% of Medicaid enrollees in states that did have Medicaid covering methadone. (atforum.com)
  • It's important to remember that before Medicaid expansion under the Affordable Care Act, which allowed coverage for men, the vast majority of Medicaid enrollees were women. (atforum.com)
  • The division of state and federal responsibility for financing the cost of newly eligible enrollees, as outlined in the ACA, also helped to contain state Medicaid spending growth. (governing.com)
  • The federal government, which covered 58 percent of total Medicaid costs in 2013, committed to covering 100 percent of the bill for newly eligible enrollees (in those states that opted for expansion under the ACA) from 2014 to 2016, phasing down to 90 percent in 2020 and thereafter. (governing.com)
  • For states in violation, federal officials required them to retroactively restore Medicaid coverage to those affected and to halt procedural terminations until their systems are fixed. (live5news.com)
  • CMS says a recent edict to state Medicaid programs has partially stanched the ongoing wave of disenrollments in the program, with about 500,000 beneficiaries set to regain coverage they had lost and "many" others protected from disenrollment going forward. (hfma.org)
  • The Kaiser Family Foundation's tracker found that more than 7.4 million beneficiaries had been disenrolled as of Sept. 22, based on reporting from 48 states and D.C. Meanwhile, coverage had been renewed for 12.2 million. (hfma.org)
  • In contrast, about 25,000 Medicaid beneficiaries were dis-enrolled each month in 2018 and 2019 prior to the covid-19 pandemic, according to the department. (arkansasonline.com)
  • A critic of the unwinding, Loretta Alexander, health policy director for the Arkansas Advocates for Children and Families, pointed out that more than 52,000 of the Medicaid beneficiaries whose cases were closed in April had paperwork issues. (arkansasonline.com)
  • The state Department of Human Services "is moving swiftly to dis-enroll individuals who are no longer eligible to ensure that Medicaid resources go to beneficiaries who truly need them, and this will continue in the coming months as the unwinding progresses," the department said in its news release. (arkansasonline.com)
  • According to the department, 44,714 of the 72,802 Medicaid beneficiaries whose cases were closed in April failed to return the renewal form, 7,673 of them failed to return requested information, and 5,791 of them requested closure of the cases. (arkansasonline.com)
  • In addition, the department reported that 5,414 of these Medicaid beneficiaries, whose cases were closed in April, had household income above the limit for their household size, and 2,024 were unable to be located. (arkansasonline.com)
  • Alexander said 52,387 out of 72,802 Medicaid beneficiaries, or about 72%, lost coverage because of paperwork issues, citing the 44,714 who failed to return the renewal form and the 7,673 who failed to return requested information. (arkansasonline.com)
  • This paper identifies some of the major trends affecting beneficiaries in available unwinding plans including choices that may affect coverage loss and ease of beneficiaries in completing redeterminations. (healthlaw.org)
  • The rolls of beneficiaries who were eligible prior to the ACA's coverage changes expanded marginally, as all 50 states and the District of Columbia saw their annual average unemployment rate fall in 2014. (governing.com)
  • Identifies, validates and disseminates information about new care models and payment approaches to serve Medicare and Medicaid beneficiaries seeking to enhance the quality of health and health care and reducing cost through improvement. (cms.gov)
  • Was Unstable Medicaid Coverage Among Older Medicare Beneficiaries Associated With Worse Clinical Outcomes? (bvsalud.org)
  • Medicare and Medicaid dually eligible beneficiaries (duals) could experience Medicaid coverage changes without losing Medicaid . (bvsalud.org)
  • Examine the associations of unstable Medicaid coverage with clinical outcomes among older Medicare beneficiaries. (bvsalud.org)
  • These emergency declarations in place since 2020, waived or modified requirements in a range of areas, including in the Medicare, Medicaid, and chip programs, as well as in private health insurance. (therealnews.com)
  • The decision not to implement Medicaid expansion in some states after the ACA took effect in 2014 led to a "gap" in coverage for residents of those states with incomes too low for subsidized insurance in the ACA's newly established health insurance marketplaces and incomes too high to qualify for the non-expanded Medicaid in their states. (wikipedia.org)
  • An estimated 2.7 million people who could lose Medicaid coverage should qualify for tax credits under the Obamacare health insurance marketplaces. (cnbc.com)
  • The legislation would exempt many young recipients from the new, highly-restrictive Medicaid spending caps that are applied on a per-person basis - but as many as 4 million wouldn't qualify the way the exemption is written. (axios.com)
  • Other than New Mexico and Iowa, these Section 1115 waivers impose work requirements as a condition to qualify for Medicaid benefits. (nclnet.org)
  • CNN) - Hundreds of thousands of children across the U.S. are losing their Medicaid coverage, even though experts say the vast majority continue to qualify. (ktre.com)
  • AMESTOY: The statement from Montana's health department says a, quote, "small proportion of people are losing coverage due to mail issues," unquote, but contends that most people who don't return paperwork would no longer qualify. (wqln.org)
  • Moreover, some adults with incomes below 100% of the federal poverty level (FPL) in non-expansion states fall into the "coverage gap", where they do not qualify for Medicaid through an existing pathway and are not eligible for marketplace subsidies. (cdc.gov)
  • The department of community health said it delayed the reevaluations of 160,000 people who were no longer eligible for traditional Medicaid but could qualify for Pathways to help them try to maintain health coverage. (phl17.com)
  • This dual health plan is for people who qualify for both Medicaid and Medicare Parts A & B (Original Medicare). (uhc.com)
  • Or, if they qualify, they might seek care under Medicaid/Medicare assistance programs. (findlaw.com)
  • This means that residents in these states who earn too much to qualify for regular Medicaid, but too little to qualify for subsidized private insurance, are left high and dry. (tcf.org)
  • Information about the health care programs available through Medicaid and how to qualify. (michigan.gov)
  • Also, states can choose to provide additional emergency Medicaid coverage for immigrants who would not otherwise qualify, have low incomes, and are pregnant. (nih.gov)
  • In 2014 alone, the ACA's expansion of Medicaid enrollment brought 13 million people into the program, according to Boston. (truthout.org)
  • Currently, Medicaid disenrollment is set to continue in state-by-state waves until the spring of 2024, and a similar number of adults and children - Boston estimates about 10 million - could lose coverage over the course of a year-long "unwinding" period, which began with the expiration of emergency pandemic enrollment protections on March 31. (truthout.org)
  • This paper examines operational and legal or regulatory barriers to enrollment in Medicare and Medicaid among elderly reentrants, and discusses promising correctional and community-based strategies for enrolling them in health coverage. (hhs.gov)
  • The order will help more than half a million people regain or keep coverage, but that positive step represents only a fraction of the enrollment decrease over recent months. (hfma.org)
  • Lesnick said the Medicaid program's enrollment totaled 1.06 million May 1 -- which reflects the 72,802 case closures -- and Medicaid's enrollment totaled 1.13 million April 30. (arkansasonline.com)
  • As a result, Medicaid enrollment grew more than 30 percent and covered more than 90 million people. (wjtv.com)
  • CIT): CHIPRA grantees from the Pueblo of San Felipe in NM and Indian Health Care Resource Center in Tulsa, OK will share: outreach and enrollment activities, challenges encountered and actions taken to overcome them, effective partnerships, advice to others interested in outreach and enrollment of AI/AN children in the Medicaid and CHIP programs. (nih.gov)
  • States choosing to participate in Medicaid expansion would also have additional Medicaid costs fully covered by the federal government in the first three years of expansion slated to begin in 2014, with a stepwise decrease in the federal government's share to 90 percent in 2020 and thereafter. (wikipedia.org)
  • Opponents of the legislation asserted that the federal government's conditioning of additional funding for Medicaid on adoption of expansion was unconstitutionally coercive. (wikipedia.org)
  • The Supreme Court held in National Federation of Independent Business v. Sebelius that adoption of Medicaid expansion by states was effectively optional, and that states could continue with their preexisting Medicaid requirements without risk of defunding. (wikipedia.org)
  • As initially passed, the ACA was designed to provide universal health care in the U.S.: those with employer-sponsored health insurance would keep their plans, those with middle-income and lacking employer-sponsored health insurance could purchase subsidized insurance via newly-established health insurance marketplaces, and those with low-income would be covered by the expansion of Medicaid. (wikipedia.org)
  • However, the U.S. Supreme Court ruling in National Federation of Independent Business v. Sebelius (2012) rendered state adoption of Medicaid expansion optional. (wikipedia.org)
  • Out of the cohort, 97 percent live in the Southern United States where most of the non-expansion states are located, with Texas, Florida, and Georgia accounting for nearly three-quarters of the Medicaid coverage gap. (wikipedia.org)
  • HHS estimated in August 2022 that some 383,000 people who lose Medicaid as the pandemic expansion winds down will fall through a bureaucratic crack called the 'coverage gap. (cnbc.com)
  • The Affordable Care Act (ACA), including its expansion of Medicaid coverage, significantly increased health insurance coverage and access to health and mental health services. (clasp.org)
  • The ACA, and in particular the Medicaid expansion component that 31 states and DC opted to take, is the reason why a record number of children and adults have affordable health care. (clasp.org)
  • Efforts to backpedal the Medicaid expansion and underfund the program endanger the lives of our nation's children and families. (clasp.org)
  • Of the states that have expanded Medicaid thus far, Idaho, Maine, Nebraska, Oklahoma, Utah, and Missouri have expanded it as a result of a ballot initiative, while the rest achieved Medicaid expansion either through their governors or state legislatures. (nclnet.org)
  • Missouri and Oklahoma were able to secure Medicaid expansion by taking the decision straight to the polls, allowing state residents to decide. (nclnet.org)
  • These victories at the ballot box show that Medicaid expansion is incredibly popular amongst voters in all states, despite the actions of some elected officials. (nclnet.org)
  • Medicaid expansion is a critical element in achieving health equity, as BIPOC populations are more likely to fall in the Medicaid coverage gap. (nclnet.org)
  • NCL supports all efforts leading to Medicaid expansion, which increases access to health care for more Americans. (nclnet.org)
  • and 21,000 in Ohio - will now be eligible for Medicaid or Title XXI-funded Medicaid expansion CHIP coverage for a full year after pregnancy. (hhs.gov)
  • Which CA Residents Lose Insurance if Medicaid Expansion is Reversed? (healthleadersmedia.com)
  • Nearly 10% of California residents have gained insurance coverage under Medicaid expansion, and 3.7 million residents could lose coverage if Medicaid expansion is reversed under a repeal of the Affordable Care Act, according to a recent study. (healthleadersmedia.com)
  • A reversal of Medicaid expansion would disproportionately impact low-income earners, young adults, part-time workers, and people of color, according to the study, which was conducted by the University of California Berkeley Center for Labor Research and Education and the UCLA Center for Health Policy Research. (healthleadersmedia.com)
  • Some residents who gained coverage could remain insured through employer-sponsored plans or other programs if Medicaid expansion is repealed, but the majority would likely become uninsured. (healthleadersmedia.com)
  • People with HIV living in the 12 states that have not adopted the Medicaid expansion face limited access to health coverage. (cdc.gov)
  • In contrast, Oklahoma officials implementing a voter-approved expansion of Medicaid in 2021 moved people in existing state insurance programs directly into the expansion pool without the need for a new application, according to the Oklahoma Health Care Authority. (phl17.com)
  • The expansion of health coverage was a major priority for states, particularly for low-income populations, children, postpartum individuals and individuals of undocumented status. (shvs.org)
  • Health care spending by state and local governments changed by the second smallest rate on record in 2014, a year in which millions of Americans gained health insurance through the Affordable Care Act's expansion of state Medicaid programs. (governing.com)
  • The new CMS spending data show that the federal government shielded states from the costs of the ACA Medicaid expansion during the first year of implementation. (governing.com)
  • Who would gain coverage under Medicaid expansion in Georgia? (nih.gov)
  • In this report, we expand those results to show the characteristics of uninsured people in Georgia under the ACA (excluding recent temporary legislative changes, which we discuss in more detail below), people who would gain health insurance coverage if Medicaid were fully expanded, and people remaining uninsured even with Medicaid expansion. (nih.gov)
  • Since the initial Medicaid expansion under the ACA, 14 states that did not initially expand have done so, either through legislative action or ballot initiatives. (nih.gov)
  • Some remaining nonexpansion states are now considering Medicaid expansion, including Georgia, North Carolina, and South Dakota. (nih.gov)
  • In Georgia Medicaid expansion is an active topic of debate in the gubernatorial race and among legislators, and members on both sides of the aisle have shown interest. (nih.gov)
  • While all states have the opportunity to take part in the federal government's expansion of the Medicaid program-which would cover all adults with incomes up to 138 percent of the federal poverty level-twenty-two states have decided to opt out. (tcf.org)
  • Remember, these are people-not numbers-who would gain access to health care right away, if only their states had accepted Medicaid expansion. (tcf.org)
  • Medicaid coverage swelled to more than 85 million people as of December, a 25% increase from February 2020, before the requirements to keep people enrolled in the program took effect, according to data from the Health and Human Services Department . (cnbc.com)
  • Beginning in 2020 as COVID-19 swept the nation, Congress temporarily expanded access to Medicaid and a "continuous coverage protection" prevented states from booting people from the program during a global pandemic. (truthout.org)
  • 8 An analysis completed by the Urban Institute in 2020 found that half of all uninsured new mothers reported that losing Medicaid or other coverage after pregnancy was the reason they were uninsured, suggesting that they would likely benefit from an extension of postpartum Medicaid coverage. (nciom.org)
  • In response to the COVID-19 pandemic, the Families First Coronavirus Response Act passed by United States Congress and signed by President Donald J. Trump in March 2020 provided enhanced federal funding for state Medicaid agencies to provide care over the course of the health crisis. (nciom.org)
  • If someone was enrolled in Medicaid in March 2020, or if they became eligible at any point during the pandemic, they remained eligible the entire time no matter what. (wjtv.com)
  • State Medicaid agencies are beginning to unwind the Medicaid continuous coverage provisions enacted in early 2020 to adapt to the COVID-19 pandemic. (healthlaw.org)
  • While much of that progress occurred between 2013 and 2016, federal data show that more than 5 million people gained coverage between 2020 and early 2022, driving the uninsured rate down to a historic low of 8 percent. (nih.gov)
  • In this brief, we update our 2020 and 2021 analyses of coverage and access inequities for Black and Hispanic adults in the U.S. using 2013-2021 data from the American Community Survey and the Behavioral Risk Factor Surveillance System. (nih.gov)
  • But the federal health law did little for adults: While premium tax credits were made available to help low-income people purchase health insurance, the subsidies cannot be used to purchase dental coverage except as an add-on to health coverage. (medscape.com)
  • No new dental benefit requirements were included for adults covered by Medicaid. (medscape.com)
  • Even so, some states have stepped up coverage for at least some adults on Medicaid. (medscape.com)
  • Although the ACA does not make Medicaid dental coverage mandatory for adults, it gives states that have chosen to expand Medicaid a potential financial incentive to include dental benefits. (medscape.com)
  • Another barrier to dental care for low-income adults is the relatively low reimbursement rates offered by state Medicaid programs. (medscape.com)
  • The gap also includes childless adults who are ineligible for Medicaid regardless of income in these states (with the exception of Wisconsin, which permits Medicaid coverage via waiver). (wikipedia.org)
  • Childless adults account for 76 percent of the coverage gap, and people of color account for around 61 percent of the cohort. (wikipedia.org)
  • At the same time, more than 5 million children and 4.7 million adults ages 18 to 34 may get kicked off Medicaid, according to HHS. (cnbc.com)
  • The Kaiser Family Foundation, which is tracking Medicaid disenrollment in 48 states, estimates that between 8 million and 24 million adults and children will lose their Medicaid coverage by 2024. (truthout.org)
  • Prior to the ACA's launch in 2014, many low-income adults, particularly young adults and parents, either were not offered or could not afford private insurance and also were not eligible for Medicaid. (clasp.org)
  • Repealing the ACA and restructuring or cutting Medicaid financing would have serious implications for the wellbeing of low-income people, particularly young adults, women, and their children. (clasp.org)
  • Call your members of Congress to let them know how critical Medicaid is for moms and babies, and for the lifetime health of our children and young adults. (clasp.org)
  • Ballot initiatives may be an avenue to enhance coverage for uninsured adults in states left to expand Medicaid. (nclnet.org)
  • Of the 3.7 million people who could lose coverage, most are low-income earners, young adults, part-time workers, or people of color. (healthleadersmedia.com)
  • Georgia has already cut more than 170,000 adults and kids from Medicaid and is expected to remove thousands more as the yearlong review of all 2.7 million Medicaid recipients in the state continues. (phl17.com)
  • Among adults in these nonexpansion states, only parents with very low incomes can be eligible for Medicaid with full benefits. (nih.gov)
  • Thus, in nonexpansion states, many uninsured adults with incomes below 100 percent of FPL generally have no affordable health insurance options, qualifying for neither Medicaid nor PTCs for purchasing Marketplace coverage. (nih.gov)
  • Access to Medicaid for certain populations and certain services is really comparable to private insurance ― for example, when you look at the share of kids who are getting well visits or of adults who are getting dental care and so forth," she said. (medscape.com)
  • The end of these special measures will see between five and 14 million Americans lose their Medicaid coverage according to the Kaiser Family Foundation, more than 30 million Americans already don't have health insurance, and millions more are under insured. (therealnews.com)
  • In Texas, for example, a married mother with a newborn loses Medicaid coverage 2 months after giving birth if she and her partner have an annual income above $3733, reports the Kaiser Family Foundation. (medscape.com)
  • Rachel Garfield, PhD, vice president and co-director of the Program on Medicaid and the Uninsured for the Kaiser Family Foundation, said this is not the first study to show the impact of administrative costs on Medicaid participation. (medscape.com)
  • Federal law requires state Medicaid programs to include dental care for children, and the Affordable Care Act extended that requirement to private insurers. (medscape.com)
  • The Affordable Care Act mandates Medicaid coverage of tobacco-dependence treatments ( 5 ) for pregnant women, beginning October 1, 2010. (cdc.gov)
  • The unwinding of the Medicaid continuous coverage requirement represents the largest nationwide coverage transition since the Affordable Care Act, with significant health equity implications. (shvs.org)
  • Since its passage in 2010, the Affordable Care Act (ACA) has helped cut the U.S. uninsured rate nearly in half while significantly reducing racial and ethnic disparities in both insurance coverage and access to care--particularly in states that expanded their Medicaid programs. (nih.gov)
  • Congress basically barred states from terminating Medicaid coverage during the pandemic, but that expanded safety net is starting to wind down. (cnbc.com)
  • U.S. states on Saturday will start to kick as many as 15 million people off Medicaid insurance, as an emergency safety net put in place during the Covid-19 pandemic comes to a gradual end. (cnbc.com)
  • Congress basically barred states from terminating Medicaid coverage during the pandemic through the Families First Coronavirus Response Act. (cnbc.com)
  • Prior to the pandemic, people frequently lost coverage due to red tape. (cnbc.com)
  • After the uninsured rate fell to an all-time low of 8 percent in 2022, nearly 6.8 million people have lost their Medicaid health coverage since the so-called unwinding of federal pandemic protections began earlier this year. (truthout.org)
  • Currently, states can extend Medicaid coverage for up to 12 months postpartum following pregnancy for the duration of the pandemic. (nclnet.org)
  • All states are undertaking a massive review of their Medicaid rolls after a three-year, pandemic-era prohibition on ending coverage expired this spring. (live5news.com)
  • A federal policy enacted early in the COVID pandemic that guaranteed medical coverage for low-income families through Medicaid ended in March. (ktvq.com)
  • Early in the COVID-19 pandemic, a federal policy was enacted to guarantee medical coverage for low-income families through Medicaid - but that policy ended back in March. (ktvq.com)
  • According to the Department of Human Services, Arkansas' Medicaid rolls increased by more than 230,000 during the covid-19 pandemic. (arkansasonline.com)
  • But that number, which still translates to more than 25 million people, is likely already higher now as states disenroll millions who gained Medicaid coverage during the pandemic public health emergency. (wjtv.com)
  • Federal legislation passed during the pandemic gave states extra money for Medicaid, but only if they kept people continuously enrolled in the program. (wjtv.com)
  • Before the pandemic, people "churned" in and out of Medicaid for various reasons. (wjtv.com)
  • AUSTIN AMESTOY, BYLINE: During the pandemic, the number of people on Medicaid nationwide swelled to more than a quarter of the U.S. population. (wqln.org)
  • That's in part because for three pandemic years, the federal government stopped making people prove that their incomes remained low enough to be eligible for Medicaid coverage. (wqln.org)
  • As of January 2016, 31 states and the District of Columbia had expanded their Medicaid programs. (governing.com)
  • More than 38% of Ohio children rely on Medicaid or K-CHIP coverage. (citybeat.com)
  • According to the Georgetown Center for Children and Families, more than 38% of Ohio children rely on Medicaid or K-CHIP coverage. (citybeat.com)
  • DentaQuest is proud to serve eligible residents across Texas with a Medicaid or CHIP dental plan. (dentaquest.com)
  • We are here to help you understand your benefits, so you can make the most of your Texas Medicaid or CHIP dental coverage. (dentaquest.com)
  • Texas Children's Health Insurance Plan (CHIP) is a health care program for children whose families earn too much to get Medicaid but cannot afford health insurance. (dentaquest.com)
  • If all states adopted this option, as many as 720,000 people across the United States annually would be guaranteed Medicaid and CHIP coverage for 12 months after pregnancy. (hhs.gov)
  • In July, CMS released its Maternity Care Action Plan to support the implementation of the Biden-Harris Administration's Blueprint, which includes postpartum coverage extensions through Medicaid and CHIP. (hhs.gov)
  • 5 Under current North Carolina Medicaid for Pregnant Women (MPW) requirements, pregnant and postpartum women whose monthly family income does not exceed 196% of the federal poverty level are eligible for Medicaid coverage services related to pregnancy, such as prenatal care, labor and delivery, medical conditions that might complicate the pregnancy, behavioral health, childbirth classes, and family planning up to 60 days after delivery. (nciom.org)
  • According to data from KFF, kids are being kicked off of Medicaid rolls largely due to simple errors. (citybeat.com)
  • And some critics note it's happening just as the state, as part of a federally mandated review, is kicking tens of thousands of people off its Medicaid rolls - at least some of whom could be eligible for Pathways. (wwlp.com)
  • Since then, many states have been dropping people from Medicaid rolls. (ktvq.com)
  • According to health policy research group KFF, which is tracking state disclosures, nearly 3.8 million Americans have been kicked off Medicaid rolls as of Tuesday. (wjtv.com)
  • States share the expense of Medicaid with the federal government, and it's often among their biggest budget items, so states have incentive to keep rolls thin. (wqln.org)
  • Healthy People 2010 established a clear objective for Medicaid programs to cover all Food and Drug Administration--approved medications and counseling for tobacco cessation ( 4 ). (cdc.gov)
  • To monitor progress toward that objective, the Center for Health and Public Policy Studies at the University of California, Berkeley, in collaboration with CDC, surveyed Medicaid programs in the 50 states and the District of Columbia (DC) to document their 2009 tobacco-dependence treatment coverage and found that 47 programs offered coverage. (cdc.gov)
  • In November 2009, a link to an online survey instrument was sent to previously identified Medicaid personnel for the 50 state Medicaid programs and DC. (cdc.gov)
  • To validate survey responses, Medicaid programs were asked to submit documentation of their tobacco-dependence treatment coverage policies. (cdc.gov)
  • The most commonly covered combination of tobacco-dependence treatments among the Medicaid programs was the nicotine patch and bupropion SR (33 programs), followed by the nicotine patch and nicotine gum (21 programs), the nicotine patch and nicotine inhaler (21 programs), and the nicotine patch and nicotine nasal spray (19 programs). (cdc.gov)
  • This is your centralized resource where you'll find specific information for providers, health plans, state Medicaid programs, and Children's Health Insurance Programs. (cms.gov)
  • 1 Federal and state laws, as well as insurers' coverage policies, shape the extent to which women can have coverage for abortion services under both publicly funded programs and private plans. (kff.org)
  • In early 2013, an amendment to the National Defense Authorization Act expanded insurance coverage for servicewomen and military dependents to include abortions of pregnancies resulting from rape or incest, as permitted in other federal programs. (kff.org)
  • State level policies also have a large impact on how insurance and Medicaid cover abortions, particularly since states are responsible for the operation of Medicaid programs and insurance regulation. (kff.org)
  • 9 As discussed earlier, the federal Hyde Amendment restricts state Medicaid programs from using federal funds to cover abortions beyond the cases of life endangerment, rape, or incest. (kff.org)
  • The Kaiser Commission on Medicaid and the Uninsured conducted a survey of Medicaid programs in all 50 states and the District of Columbia on coverage of and cost sharing for preventive services. (kff.org)
  • Those include payment for telemedicine for early childhood intervention services and Medicaid waiver programs. (texmed.org)
  • Meanwhile, House Republicans are targeting Medicaid and other safety net programs for steep cuts as GOP leadership wrangles with far right lawmakers over a budget deal needed to avoid a government shutdown. (truthout.org)
  • The White House said this week that Biden and Senate Democrats would oppose the roughly $9 trillion in proposed cuts to "mandatory spending" programs such as Medicare, Social Security and food stamps laid out in a Republican budget blueprint this week, including nearly $2 trillion in cuts to Medicaid. (truthout.org)
  • States often use computer programs as a first step in determining whether people should be automatically re-enrolled in Medicaid. (live5news.com)
  • States that have Medicaid funding for methadone treatment are far more likely than states without such funding to have Medicaid-enrolled patients in treatment programs, researchers have found. (atforum.com)
  • The information on methadone treatment came from a survey mailed to Medicaid programs in all 50 states and the District of Columbia, on behalf of the American Society of Addiction Medicine (ASAM). (atforum.com)
  • In recent months, we have seen several proposals at both the federal and state levels that would leverage state Medicaid programs as a key component of coverage stability and affordability strategies. (shvs.org)
  • State Medicaid programs must follow federal anti-discrimination laws. (findlaw.com)
  • HHS estimates that as many as 15 million people stand to lose Medicaid coverage. (cnbc.com)
  • About 30% of those who could lose Medicaid coverage are Hispanic, and 15% are Black. (cnbc.com)
  • When the national emergency for COVID-19 ends on May 11, between 5 to 14 million Americans will lose Medicaid coverage. (therealnews.com)
  • Some states expect to complete system improvement before the end of September while others expect it to take several months, said Daniel Tsai, director of the CMS Center for Medicaid and Children's Health Insurance Program Services. (live5news.com)
  • The Vice President also issued a Call to Action to the private and public sector to improve maternal health outcomes, where she urged states to extend Medicaid coverage for postpartum women from 2 months to 12 months and announced guidance for how states can extend their coverage. (hhs.gov)
  • At least eight states this year have decided to seek federal approval to extend postpartum Medicaid coverage, leaving just a handful that have opted not to guarantee at least a year of health care for women during that critical period after pregnancy. (physiciansweekly.com)
  • Besides Montana, legislators in Alaska, Mississippi, Missouri, Texas, Utah, and Wyoming passed measures this year to extend postpartum Medicaid coverage from 60 days to a year. (physiciansweekly.com)
  • It typically takes a couple of months for CMS to approve state Medicaid plan amendments to extend postpartum coverage, Clark said. (physiciansweekly.com)
  • Lawmakers in Nebraska, Nevada, New Hampshire, and Wisconsin are considering measures to extend postpartum Medicaid coverage to 12 months. (physiciansweekly.com)
  • The federal government has approved a request by Illinois to extend postpartum Medicaid coverage to a full year from the current standard of 60 days. (medscape.com)
  • Illinois is the first state to seek and win approval to extend its Medicaid coverage from the current 60-days postbirth requirement. (medscape.com)
  • States won't get extra money - they will receive the regular per-capita based federal match if they extend Medicaid coverage through this pathway. (medscape.com)
  • Cite this: Feds Let Illinois Extend Postpartum Medicaid Coverage - Medscape - Apr 12, 2021. (medscape.com)
  • These patterns are concerning and, in the context of well-defined clinical guidelines for beneficial treatments that extend survival , point to the importance of stable insurance coverage and income . (bvsalud.org)
  • After the U.S. uninsured rate hit a record low in 2022, millions are now losing health coverage simultaneously. (truthout.org)
  • However, the recently passed coronavirus rescue package creates a new process that lets states more easily expand postpartum coverage, but they must act by April 2022. (medscape.com)
  • Extensive paperwork and oversight also limit the number of dentists willing to take Medicaid patients. (medscape.com)
  • She agreed with the conclusion of the new study that administrative barriers are as important as the payment rate in the decision of doctors to take Medicaid patients or not. (medscape.com)
  • Resulting discrimination in Medicaid law and policy thwart the program's ability to promote intergenerational health equity and reproductive justice for underserved communities.This Article provides an account of why reproductive justice is a necessary framework for examining, reimagining, and reforming Medicaid coverage law and policy. (nih.gov)
  • Heiman and other experts say the program's slow start reflects fundamental flaws missing from Medicaid expansions in other states, including the extra burden of submitting and verifying work hours. (wwlp.com)
  • Expanded insurance coverage of telemedicine, one year of postpartum coverage for pregnant women in Medicaid, and improved continuity of care for their children - some of the Texas Medical Association's biggest priorities - are all halfway to approval from the Texas Legislature. (texmed.org)
  • HHS data shows that more than half of pregnant women in Medicaid experienced a coverage gap in the first 6 months postpartum and that disruptions in coverage often lead to delayed care and less preventive care, he said. (medscape.com)
  • We have many resources about coverage and billing for providers, state Medicaid plans, and private health plans. (cms.gov)
  • An individual could lose coverage if they didn't complete the annual renewal process, or if their state was unable to contact them due to a change of address or other issues. (cnbc.com)
  • In other words, a state can't terminate someone's coverage simply because outreach by mail was returned as undeliverable, which frequently happens due to an address change or other reasons. (cnbc.com)
  • State and federal efforts to address insurance and Medicaid coverage of abortion services began soon after the 1973 Supreme Court's Roe v. Wade decision legalizing abortion and have continued to the present day. (kff.org)
  • The issue of abortion coverage was at the heart of many debates in the run up to the passage of the ACA, and subsequently led to renewed legislative efforts at the state level to limit coverage of abortions , this time in private insurance plans. (kff.org)
  • As insurance and Medicaid coverage for abortion is increasingly limited by state and federal regulations as well as insurer coverage policies, in many states hundreds of thousands of women seeking abortion services annually are left without coverage options - even when they are victims of rape or incest or if the pregnancy is determined to be a threat to their health. (kff.org)
  • This brief reviews current federal and state policies on Medicaid and insurance coverage of abortion services, and presents national and state estimates on the availability of abortion coverage for women enrolled in private plans, Marketplace plans and Medicaid. (kff.org)
  • Millions of people are losing Medicaid coverage after failing to reapply or file paperwork with state agencies, not the federal government, but some say the massive loss of health insurance still threatens to tarnish the legacy of President Joe Biden. (truthout.org)
  • In most cases, it's largely within the power of the state governor to expand Medicaid to all residents. (nclnet.org)
  • Expanding Medicaid would yield economic benefits, as state economies are projected to increase by $350 billion in the span of three years, while also creating 1 million jobs nationwide. (nclnet.org)
  • The study also broke down the percentage of state residents who gained coverage through subsidized plans on Covered California. (healthleadersmedia.com)
  • Linkage to health coverage upon release from prison or jail is a critical aspect of the reentry process that may promote greater personal stability and productivity, as well as better care coordination in the community health care system and subsequent reductions in state expenditures. (hhs.gov)
  • But public health experts and advocates say since it launched on July 1, state officials appear to be doing little to promote or enroll people in the nation's only Medicaid program that makes recipients meet a work requirement. (wwlp.com)
  • While the federal government initiated and dictated a process for re-determining the qualifications of traditional Medicaid recipients, Georgia is the only state in the country simultaneously offering a new pathway to healthcare coverage and opportunity," he said in a statement. (wwlp.com)
  • Some state Medicaid directors said Thursday that they were unaware they had been doing things incorrectly. (live5news.com)
  • But no more than a couple thousand people were affected in Nebraska, said state Medicaid Director Kevin Bagley. (live5news.com)
  • The State Coverage Initiatives program has ended as of February 2016. (statecoverage.org)
  • Alexander said the state Department of Human Services' figures "bear out our concern that thousands of eligible people would lose their Medicaid coverage during this process. (arkansasonline.com)
  • That would ensure coverage for between 1,000 and 2,000 additional parents in the state each year, according to federal and state estimates. (physiciansweekly.com)
  • Maggie Clark , the program director for Georgetown University's Center for Children and Families, has been tracking statehouse bills to expand postpartum coverage under Medicaid, the federal-state health insurance program for low-income people. (physiciansweekly.com)
  • State by state, momentum has been building to ensure that new mothers' medical care isn't interrupted by loss of health care coverage. (physiciansweekly.com)
  • The Texas House, for example, passed a 12-month postpartum coverage bill in April, only to see the measure amended in the state Senate to bar coverage for women after an abortion. (physiciansweekly.com)
  • After negotiations, the bill that passed said, "Medicaid coverage is extended for mothers whose pregnancies end in the delivery of the child or end in the natural loss of the child," leading some to worry that federal officials won't approve the amendment to the state plan. (physiciansweekly.com)
  • Across all states reporting, nearly three-quarters of all people disenrolled had their coverage terminated for "procedural reasons," meaning missing or incorrect paperwork, or when the state has outdated contact information. (wjtv.com)
  • Both methadone and buprenorphine are effective, and buprenorphine is now covered in every state Medicaid program, but methadone is not. (atforum.com)
  • Coverage for cancer screening is determined by certain federal and state laws, as well as the policies set by your insurance provider. (cancer.org)
  • Continuing Medicaid coverage for new mothers has been backed by the American Medical Association, is a priority of the American College of Obstetricians and Gynecologists , and has been promoted by Republicans and Democrats in Congress and state legislatures. (medscape.com)
  • The state estimates that some 2500 women with incomes up to 208% of the federal poverty level will receive the year of continuous Medicaid coverage. (medscape.com)
  • The Robert Wood Johnson Foundation's State Health and Value Strategies (SHVS) program , together with technical assistance experts from Manatt Health, host a webinar that highlights and defines potential policy options, including the "Medicaid Buy-in," that states may consider to leverage Medicaid to achieve their goals with respect to coverage availability and affordability. (shvs.org)
  • As states are working diligently to operationalize the unwinding of the Medicaid continuous coverage requirement, State Health and Value Strategies has been tracking the creative strategies states are implementing to minimize coverage losses. (shvs.org)
  • SHVS will continue to track and share state efforts to support coverage through the unwinding period. (shvs.org)
  • The state and local deceleration, second only to a 1.4 percent drop in 2009, occurred across spending categories, but was principally driven by especially slow growth in the two largest: state Medicaid payments (0.9 percent) and public employee health insurance premiums (3.7 percent). (governing.com)
  • One element that slowed the growth of state Medicaid expenditures was modest but steady economic recovery. (governing.com)
  • As a result, state Medicaid spending ticked up by just 0.9 percent, only the fourth time it has grown by less than 1 percent since 1987, the earliest year for which data are available. (governing.com)
  • In contrast to the unusually low spending growth at the state level, federal Medicaid expenditures rose by 18.4 percent, up from 6.1 percent in 2013. (governing.com)
  • And recasting Pollack's map so that it displays each state by its overrepresentation of nonwhites falling in the Medicaid gap, we get a picture of where minority status correlates greatest with no health care. (tcf.org)
  • On the basis of these comparisons, they estimated that a CIP increase of 10 percentage points reduces physicians' probability of accepting Medicaid patients by 1 percentage point if they move from one state to another. (medscape.com)
  • The long-term relationship between a 10-point CIP difference within groups that span multiple states reduces the probability of physicians in the state with the higher CIP accepting Medicaid patients by 2 percentage points, the authors say. (medscape.com)
  • As the United States' largest public health insurance program, Medicaid has since 1965 played a crucial role in the struggle for equitable health care access. (nih.gov)
  • Medicaid is the public health insurance program for people who have lower incomes. (cnbc.com)
  • As many as 6.8 million people could lose Medicaid even though they are still eligible for the program. (cnbc.com)
  • From 1981 to 2013, the military health insurance program limited coverage for abortion to circumstances when the woman's life was endangered. (kff.org)
  • The Medicaid program serves millions of low-income women and is a major funder of reproductive health services nationally. (kff.org)
  • Children's Medicaid is a health care program for children in low-income families. (dentaquest.com)
  • Coverage would probably become unaffordable for most people," said Laurel Lucia, a healthcare program manager at the UC Berkeley Labor Center and a coauthor of the study. (healthleadersmedia.com)
  • The Medicaid program in Massachusetts will test a new model for drug coverage that includes negotiating discounts for drugs and excluding some drugs. (ajmc.com)
  • Any disruption in coverage can have serious health consequences, serious health and mental health consequences," said Jennifer Tolbert, associate director of KFF's program on Medicaid and the uninsured. (ktvq.com)
  • From what we have seen thus far, they are not doing anything affirmatively to get these people enrolled in Pathways," said Cynthia Gibson, an attorney with the Georgia Legal Services Program who helps people obtain Medicaid coverage. (phl17.com)
  • Illinois will evaluate whether the extension improves women's health and if it benefits the Medicaid program overall. (medscape.com)
  • ACS CAN opposes per capita caps, block grants, and other capped funding structures for the Medicaid program, as they endanger access to care. (fightcancer.org)
  • As a result, doctors in states where these barriers lead to lower Medicaid reimbursements are less likely to accept Medicaid patients than are physicians in states where they can earn more than is earned from the health insurance program for the poor, the study finds. (medscape.com)
  • As the study cited, there was research many years ago showing that billing delays in Medicaid were associated with participation in the program. (medscape.com)
  • In addition, most Medicaid-enrolled patients in opioid agonist therapy were white, although states where the SAPT block grant provided reimbursement also had non-Hispanic black populations in treatment. (atforum.com)
  • Nationwide, nearly 700,000 children have lost coverage during the unwinding, though experts have said that number is likely much higher. (citybeat.com)
  • This document contains a comprehensive list of messaging and outreach resources for advocates related to the continuous coverage unwinding. (healthlaw.org)
  • What is the Medicaid unwinding, and what do Georgians need to know? (healthyfuturega.org)
  • Given the intense focus on coverage transitions during the unwinding, some states are publishing their data to monitor progress. (shvs.org)
  • The result is poor access to preventive care for low-income people on Medicaid in much of the country, ultimately resulting in higher overall costs. (medscape.com)
  • Texas has the largest population of people in the cohort, accounting for 41 percent of people in the coverage gap. (wikipedia.org)
  • It has the potential to be a powerful instrument of reproductive justice, yet discriminatory policies that deny coverage for vital sexual, reproductive, or other health services, or exclude entire populations of people with low incomes from coverage altogether, constrain peoples' health and reproductive futures. (nih.gov)
  • Many individuals losing Medicaid are expected be eligible for other forms of health insurance, though some people could fall through the bureaucratic cracks. (cnbc.com)
  • Another 5 million people are expected to be able to get other forms of coverage, primarily through their employer. (cnbc.com)
  • Financed by the federal government but run by the states, Medicaid provides health coverage for millions of children, elderly and disabled people as well as lower-income workers in highly profitable industries. (truthout.org)
  • Advocacy groups weren't thrilled with the exemption in the first place -- they didn't want to see some vulnerable people being protected from Medicaid spending limits while others weren't. (axios.com)
  • This incentive is particularly critical to addressing maternal mortality in the United States, ensuring birthing people have access to health coverage in the most vulnerable stage of their lives. (nclnet.org)
  • An estimated additional 34,000 people are now eligible for essential care for a full year after pregnancy, thanks to the American Rescue Plan and the Biden-Harris Administration's efforts to strengthen maternal health coverage. (hhs.gov)
  • The Biden-Harris Administration has made expanding access to high-quality, affordable health care a top priority - and because of the American Rescue Plan (ARP) and other Administration efforts, more people than ever before have health insurance coverage. (hhs.gov)
  • According to the KFF , at least 5.4 million people have since lost their Medicaid benefits. (ktre.com)
  • The Georgia Department of Community Health, which has projected up to 100,000 people could eventually benefit from Georgia Pathways to Coverage, had approved just 265 applications by early August. (wwlp.com)
  • In addition, Marketplace subsidies are only available to people earning 133% of the federal poverty level, resulting in a coverage gap. (nciom.org)
  • One of the conditions for receiving funding is that states are expected to provide continuous coverage throughout the health emergency to ensure that people do not lose their Medicaid coverage. (nciom.org)
  • Around 70,000 people, including about 41,000 children, were inappropriately dropped from Medicaid in June, July and August because of automation issues and will have their coverage reinstated for an additional 12 months, beginning as soon as Friday, New York Medicaid Director Amir Bassiri said. (live5news.com)
  • Officials in Nevada and Pennsylvania each estimated that more than 100,000 people may have lost coverage because of shortcomings in their automated renewal systems, according to data distributed by CMS. (live5news.com)
  • This many people losing coverage without a true determination of being ineligible based on income is verification that this process needs to be slowed down," she said. (arkansasonline.com)
  • The federal government has put five states on notice that they make it too hard for people to stay on Medicaid. (wqln.org)
  • About 40% of people who call Montana's helpline abandon their calls, a rate higher than most states, Medicaid says. (wqln.org)
  • Medicaid also says Montana is at the bottom of the pack when it comes to reenrolling people who remain eligible for coverage, along with New Mexico, Alaska, Rhode Island and Florida. (wqln.org)
  • AMESTOY: Wagner says the problems Medicaid has identified in the five states, including Montana, could indicate they're not reenrolling people who are still eligible for health coverage. (wqln.org)
  • https://www.kff.org/hivaids/issue-brief/people-with-hiv-in-non-medicaid-expansio. (cdc.gov)
  • People Impacted by Flood Can Sign Up for Health Coverage. (vtlawhelp.org)
  • Federal law prohibited states from removing people from Medicaid during the three-year emergency. (phl17.com)
  • Nationwide, more than a million people have been dropped from Medicaid, most for failing to fill out paperwork. (phl17.com)
  • We offer dual health plans for people with Medicaid and Medicare. (uhc.com)
  • It also provides coverage for people younger than 65 with certain disabilities. (findlaw.com)
  • Additionally, people with incomes between 100 and 138 percent of FPL may be ineligible for subsidized coverage if they have an offer of employer-based coverage deemed affordable. (nih.gov)
  • Medicaid covers both prenatal and postpartum care for many people in the United States who have low incomes, but current federal law allows Medicaid coverage only for U.S. citizens or immigrants who meet certain requirements . (nih.gov)
  • Still, people who are not qualified because of their immigration status can receive Medicaid coverage for emergencies. (nih.gov)
  • The study found that expanded prenatal care coverage was associated with significant increases in the use of antidiabetic medications, including insulin, for people with gestational diabetes. (nih.gov)
  • As Pollack points out, the fact is, southern states contain large populations of poor minorities currently feeling the brunt of the Medicaid gap's pain. (tcf.org)
  • I thought that, given this reality, it would be interesting to take a deeper look at how minority populations are faring under states' refusal to expand Medicaid. (tcf.org)
  • Even under the new law, 37 percent of nonelderly individuals living in the 12 states that have not expanded Medicaid are left uninsured. (nclnet.org)
  • In other action on the House floor, the full chamber also passed House Joint Resolution 25 and House Bill 457 , both by Rep. Matt Shaheen (R-Plano), to allow a partial county homestead tax exemption for physicians who provide uncompensated care to indigent residents or Medicaid recipients in the county. (texmed.org)
  • Women ineligible for MAF can seek coverage on the ACA Marketplace, however, Marketplace premiums, co-pays, and deductibles can be barriers to access for low- and moderate-income women. (nciom.org)
  • The majority of Americans have to travel miles to see a dentist who takes their insurance, particularly if they're covered by Medicaid. (medscape.com)
  • About 1.4 million Americans have purchased dental coverage on health insurance exchanges since January 2014 when the law took full effect. (medscape.com)
  • Employer-sponsored insurance typically caps coverage at $1,500 per year, the same level as 30 years ago when dental insurance was first offered. (medscape.com)
  • Governors in several Republican-leaning states announced that they would not expand Medicaid in response, leading to a gap in insurance coverage. (wikipedia.org)
  • Extended postpartum coverage allows new parents to establish a relationship with their health provider and manage their care and chronic illnesses without a disruption in insurance coverage. (physiciansweekly.com)
  • Once that occurs, between 5 to 14 million Americans previously covered under Medicaid will lose their insurance. (therealnews.com)
  • Many states also have laws to make sure private insurance companies, Medicaid, and other employee health plans pay for regular screening tests. (cancer.org)
  • Insurance coverage for cancer screening tests depends on the type of insurance you have. (cancer.org)
  • Do Insurance Companies and Medicaid Cover Gender-Affirming Care? (findlaw.com)
  • How gender-affirming care fits into insurance coverage and Medicaid depends on where you live. (findlaw.com)
  • Medicaid claims are denied at higher rates than are claims with Medicare and commecial insurance plans, and costs for collecting claims are higher with Medicaid than with Medicare and commercial insurance, a new study shows. (medscape.com)
  • According to the study, CIP averages 17.4% of the contractual value of a typical visit for Medicaid, 5% for Medicare, and 2.8% for commercial insurance. (medscape.com)
  • The study also shows how much less revenue physicians net from Medicaid than from other types of insurance. (medscape.com)
  • The total revenue collected per Medicaid claim was $84, vs $131 for Medicare and $175 for commercial insurance. (medscape.com)
  • Many children eligible do not receive home care due to a shortage of skilled caregivers, lacking coverage, and poor insurance payouts. (healthychildren.org)
  • If you do not have health insurance, read about health insurance options to find out how to get more affordable coverage and what to consider when choosing a plan. (plannedparenthood.org)
  • For the study, "Medicaid Coverage for Methadone Maintenance and Use of Opioid Agonist Therapy in Specialty Addiction Treatment," the researchers analyzed the 2012 Treatment Episode Data Set (TEDS) from the Substance Abuse and Mental Health Services Administration. (atforum.com)
  • On the basis of data from 2009-2015, the researchers found that physicians reported accepting Medicaid patients 72% of the time, on average, and that they accepted Medicare patients 84% of the time. (medscape.com)
  • The researchers theorized that higher CIP should reduce physicians' incentive to treat Medicaid patients. (medscape.com)
  • The researchers looked at whether access to prenatal care through emergency Medicaid affected health outcomes for Latina patients with gestational diabetes. (nih.gov)
  • In the study, researchers looked at Medicaid claims and linked birth certificates for 1,834 Latina patients who received emergency Medicaid, which means they all had low incomes and were immigrants. (nih.gov)
  • The researchers found that before the Medicaid policy took effect in Oregon, only 0.3% of Latina patients with gestational diabetes used antidiabetic medication during pregnancy. (nih.gov)
  • The researchers concluded that the availability of emergency Medicaid was linked to a significant increase in the use of antidiabetic medications for those who had gestational diabetes. (nih.gov)
  • Joan Alker, research professor at McCourt School of Public Policy and executive director of Center for Children and Families at Georgetown University, said the ripple effects of increasing numbers of kids without coverage could be far-reaching. (citybeat.com)
  • Thanks to President Biden's American Rescue Plan, now more than 318,000 families across the country can have the peace of mind that comes with essential health care coverage. (hhs.gov)
  • But postpartum coverage after the 60-day federal requirement is a patchwork. (medscape.com)
  • The Biden-Harris Administration has made strengthening maternal health a top priority - and extending postpartum coverage not only improves health outcomes, but saves lives. (hhs.gov)
  • One avenue for preventing maternal mortality and improving maternal health outcomes in North Carolina is extending pregnancy Medicaid coverage to up to one year after delivery. (nciom.org)
  • It is unknown whether health care use and clinical outcomes among elderly duals with coverage changes would be like those among duals without coverage changes or duals ever lost Medicaid and whether various types of unstable coverage due to income /asset changes are associated with worse clinical outcomes. (bvsalud.org)
  • Women with the 2 types of unstable Medicaid coverage had similarly worse outcomes than those with stable coverage. (bvsalud.org)
  • Those with stable coverage had similar outcomes regardless of the generosity of Medicaid support. (bvsalud.org)
  • Using some of the reproductive justice movement's critiques as a starting point, it explores how reproductive oppression has shaped Medicaid coverage law, policy, and mainstream reproductive and health care reform movements' proposals, and to what effect. (nih.gov)
  • Observers say it's the largest simultaneous loss of health coverage in United States history, with impacts threatening to reverberate through the already struggling health care system for years. (truthout.org)
  • We must not jeopardize the critical health care coverage that Medicaid provides. (clasp.org)
  • This is particularly promising for expanding health care access because over 50% of births in North Carolina are covered by Medicaid. (nciom.org)
  • The continuity of coverage available through this action will help new mothers manage chronic conditions like hypertension and diabetes, and it will provide access to behavioral health and other mental health care services," he said. (medscape.com)
  • Long-term care, which includes nursing fa- Medicaid contributed an average of $1,226 more per cilities and home health care, provides care diabetic resident in 1987 than per nondiabetic resi- to an increasing population of disabled, eld- dent. (nih.gov)
  • Health Care Coverage information and resources. (michigan.gov)
  • She added whether their parents obtained employer-sponsored coverage or they lost coverage for procedural reasons like a change of address, the trend is troubling. (citybeat.com)
  • So we don't know why the 61,000 kids have lost their Medicaid coverage," she explained. (citybeat.com)
  • 9 In addition, almost one-third of women who lost Medicaid coverage and became uninsured in the postpartum period were obese before their pregnancy, 18% reported either gestational diabetes or pregnancy-related hypertension, and over one-quarter reported being depressed sometimes, often, or always in the months after giving birth. (nciom.org)
  • Alker says many of the children who have lost their Medicaid are probably still eligible. (ktvq.com)
  • Participants lost their coverage if they earned too much or didn't provide the information needed to verify their income or residency. (wjtv.com)
  • She found out she lost coverage in July when her pharmacist told her Medicaid was no longer paying for her heart failure medications. (wqln.org)
  • JENNIFER WAGNER: We don't know why somebody lost coverage. (wqln.org)
  • Those Who Lost Medicaid Can, Too. (vtlawhelp.org)
  • We examined 2 types of unstable Medicaid coverage (1) those who had changes in the types of Medicaid support they received and (2) those who ever lost Medicaid . (bvsalud.org)
  • KFF also released a new analysis, reporting that children accounted for roughly 4 in 10 Medicaid disenrollments this year, based on data from the 21 states reporting age breakouts. (ktvq.com)