The unwinding related section 1902(e)(14) strategies newly available to Medicaid and CHIP agencies can provide significant relief to states facing pending eligibility and enrollment actions and processing delays, workforce and systems limitations, and other operational challenges. Ensuring eligible individuals do not lose coverage for procedural or administrative reasons and supporting those who are ineligible for Medicaid/CHIP transition to Marketplace coverage will be paramount for all states as they begin to resume normal operations when the federal public health emergency (PHE) ends. This expert perspective outlines the time-limited targeted enrollment flexibilities that CMS has availed to states through section 1902(e)(14) waiver authority and discusses considerations beyond the strategies described in federal guidance and supplemental resources.
Repeal of the ACA Medicaid Expansion: Critical Questions for States
Jocelyn Guyer, Deborah Bachrach, Patricia Boozang, and Cindy Mann, Manatt Health
Updated as of December 22, 2016
As we approach the beginning of a new presidential administration, there has been continued debate regarding the future of the Affordable Care Act (ACA), much of which has focused on the marketplaces, the mandate, and health insurance reforms such as the ban on insurers’ blocking coverage to those with pre-existing conditions. A potential elimination of the law’s Medicaid expansion to low-income adults and other ACA Medicaid provisions, however, would have far-reaching implications for states and the Medicaid program. This issue brief, developed by Manatt Health, provides a series of questions and answers on the potential repeal of the Medicaid expansion, reviewing available information, and highlighting critical questions that states will want to consider as Congress and the incoming Administration continue to debate when and how to repeal the ACA.