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Issue Brief

This brief, prepared by the National Academy for State Health Policy, lays out the major factors states have considered in estimating the cost of a potential Medicaid expansion. The major factors addressed in this brief are: Who will enroll in Medicaid with or without a Medicaid expansion?; How do the alternatives afforded by Medicaid’s Alternative Benefit Plans and Medicaid waivers affect expansion considerations?; How are health care institutions, state agencies, and a state’s broader economy affected by a state’s decision regarding Medicaid expansion?

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Date Created: Aug 11, 2013


Issue Brief

A number of provisions in the Affordable Care Act (ACA), from changes to income eligibility (section 2002) to coverage for freestanding birth center services (section 2301), require states to alter Medicaid eligibility guidelines, service benefits, or payment criteria.

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Date Created: Jul 11, 2013


Meetings & Presentations

The State Network hosted a Small Group Convening in Balitmore, MD on April 25-26, 2013, bringing together state officials and technical experts to discuss pressing Medicaid implementation issues.

Date Created: May 12, 2013


Issue Brief

The National Academy of State Health Policy (NASHP) compiled this checklist to highlight the Affordable Care Act (ACA) Medicaid requirements that will take effect in the next two years, nearly all of which will apply to states regardless of whether the state chooses to expand Medicaid eligibility.

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Date Created: Apr 12, 2013


Issue Brief

This brief prepared by Manatt Health Solutions examines some of the legal, policy and operational issues states should contemplate while considering the possibility of using “premium assistance” to purchase coverage for Medicaid-eligible adults in the Exchange.

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Date Created: Mar 12, 2013


State Materials

This analysis estimates the potential costs and benefits of Medicaid expansion for the State of Oregon. It assesses the effect on state general funds, other state funds and the overall impact on health care expenditures.

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Date Created: Feb 12, 2013


Issue Brief

This brief and companion chart, prepared by Center for Health Care Strategies, reviews cost allocation methodologies states use to determine how exchange development expenses are charged to different agencies.

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Date Created: Jan 12, 2013


Issue Brief

The following document, prepared by the National Academy for State Health Policy, discusses the possible role of Express Lane Eligibility (ELE) in simplifying and streamlining enrollment into Medicaid and the Children’s Health Insurance Program (CHIP).

Date Created: Dec 17, 2012


Templates & Toolkits

This template, prepared by Manatt Health Solutions, is intended to assist states in evaluating the options with respect to transitioning certain Medicaid and state-funded populations and programs into a post-ACA coverage environment with Medicaid eligibility for non-disabled adults under age 65 (potentially) expanded to 133% of the FPL and tax credits and cost sharing reductions available to individuals between 133% and 400% of the FPL (or between 100% and 400% in a non-expansion state).

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Date Created: Oct 16, 2012


Regulatory Analysis

The following chart, prepared by Manatt Health Solutions, with support from the State Network, summarizes the federal statutory and regulatory eligibility and enrollment requirements for Medicaid using the Modified Adjusted Gross Income (MAGI) methodology, CHIP, Non-MAGI Medicaid, Temporary Assistance for Needy Families (TANF), Child Care Assistance Program and Supplemental Nutrition Assistance Program (SNAP).

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Date Created: Oct 13, 2012