March 2014 Report to the Congress on Medicaid and CHIP

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March 2014

The roles of Medicaid and State Children’s Health Insurance Program (CHIP) are changing. Medicaid has expanded, with about half the states covering a new group of low-income adults as of January 1, 2014. The Patient Protection and Affordable Care Act (ACA, P.L. 111-148, as amended) created new health insurance exchanges that interact with both Medicaid and CHIP. With CHIP funding scheduled to run out after fiscal year 2015, policymakers also have a new opportunity to consider a long-term vision for children’s health coverage.

In this March report, we explore six specific issues raised by the changing roles of Medicaid and CHIP: Medicaid and CHIP in the context of the ACA; continuity of coverage for adults under age 65; pregnancy coverage in Medicaid and exchange plans; program integrity issues raised by ACA eligibility changes; children’s coverage under CHIP and exchange plans, and policy implications of Medicaid non-disproportionate share hospital supplemental payments.

Publication Type: Reports to Congress

Report Chapters

Tags: Affordable Care Act, CHIP, churning, continuous eligibility, exchanges, pregnant women, supplemental payments, Transitional Medical Assistance (TMA), Upper Payment Limit (UPL)