Montana Medicaid Expansion Waiver

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February 2016

The Patient Protection and Affordable Care Act expanded Medicaid coverage to non-elderly adults with incomes at or below 138 percent of the federal poverty level who were not previously eligible for the program. After the U.S. Supreme Court ruling in June 2012 effectively made Medicaid expansion optional, a number of states have pursued alternative approaches to extending coverage to these previously ineligible adults. This issue brief summarizes the main design features of the Montana expansion waiver, including covered benefits, required premiums and cost sharing, whether the waiver uses a premium assistance program, and how services are delivered (i.e. by fee for service or managed care).

Publication Type: Fact Sheets

From: Expanding Medicaid to the New Adult Group through Section 1115 Waivers

Tags: adults, Affordable Care Act, benefits, childless adults, copayments, cost sharing, eligibility, Medicaid expansion, new adult group, premium assistance, premiums, waivers