As federal health reform legislation has stalled, health policy attention turns to the states, which have many tools to reform their health care systems. While 1115 waivers rightly get a lot of attention, because of their ability to reshape state Medicaid programs, the Affordable Care Act’s Section 1332 waivers continue to be a promising avenue for states.
States’ Medicaid ACA Checklist for 2014
National Academy of State Health Policy
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. The checklist also highlights a few important optional provisions that states may want to consider as they plan for modernizing their Medicaid programs and complying with federal requirements. The checklist is divided into five domains of work for states’ Medicaid programs: eligibility and enrollment; operations; financing; benefits; and consumer assistance. Following a description of each requirement is a list of resources that can be useful to states working on the issue. Finally, this checklist provides links to relevant resources that offer additional tools and analyses to support state implementation efforts, and is accompanied by a companion Resource List, which provides full citations to each resource noted in the individual resources sections below.