March 2013 Report to the Congress on Medicaid and CHIP

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March 2013

The Commission’s March 2013 report to Congress focuses on issues confronting Medicaid and State Children’s Health Insurance Program (CHIP) administrators as implementation of the Patient Protection and Affordable Care Act (ACA, P.L. 111-148, as amended) moves forward. These include executing new eligibility provisions; managing interaction among Medicaid, CHIP, and exchange coverage; and pursuing delivery system and payment innovations for individuals dually enrolled in Medicare and Medicaid, who are among the highest need and highest cost enrollees in both programs.

The report also addresses Medicaid coverage of premiums and cost sharing for low-income Medicare beneficiaries, and issues in setting Medicaid capitation rates for integrated care plans.

Publication Type: Reports to Congress

Report Chapters

Tags: capitation, churning, continuous eligibility, copayments, cost sharing, cross over claims, deductibles, dually eligible beneficiaries, duals demonstrations, elderly, exchanges, jobless adults, long-term services and supports, managed care, Medicaid expansion, Medicare, Medicare Savings Programs, new adult group, people with disabilities, premiums, Program of All-Inclusive Care for the Elderly (PACE), rate setting, risk adjustment, special needs plans, Transitional Medical Assistance (TMA), working adults