The Pardu

The Pardu
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Wednesday, July 2, 2014

Medicaid Expansion Via The White House

The following is a re-post from White House Dot Gov. Simpy put.... GOP obstruction is preventing medical coverage to 5.7 million Americans. 

Who are actually eligible for Medicaid benefits?

Medicaid and CHIP provide health coverage to nearly 60 million Americans, including children, pregnant women, parents, seniors and individuals with disabilities. In order to participate in Medicaid, federal law requires states to cover certain population groups (mandatory eligibility groups) and gives them the flexibility to cover other population groups (optional eligibility groups). States set individual eligibility criteria within federal minimum standards. States can apply to CMS for a waiver of federal law to expand health coverage beyond these groups.
See much more here and here

Who receives it considering social demographic groups?
See more

The list of potential Medicaid recipients could include you at the end of one auto accident, inadvertent fall, health failure (eg. stroke).

What does Medicaid Expansion mean and who is eligible?

How does the Affordable Care Act affect eligibility for Medicaid?

  • Creates a new Medicaid group - Newly Eligible Individuals age 19 up to 65 who:
    • Have income below 138% FPL
    • Meet citizenship requirements
    • Are not incarcerated
    • Are not entitled to Medicare
  • Changes to income and deductions for existing Medicaid groups:
    • Children
    • Pregnant Women
    • Families (Parents/Caretaker Relatives)
  • Modified Adjusted Gross Income (MAGI) methodology used for income calculation is the IRS
    • Countable income
    • Income deductions
  • Additional methods for determining income and deductions
    • Household composition - mirrors federal income tax filing rules
    • No asset/resource limits
    • 12 month certification periods
  • Simplified application and renewal process for:
  • The following groups will not have any changes in eligibility for Medicaid:
    • Aged, Blind or Disabled individuals
    • Foster Care children
    • SSI cash recipients

White Hose Dot Gov

Expanding Medicaid

24 states have yet to expand Medicaid coverage under the Affordable Care Act. If they don't change course, 5.7 million people will go without health insurance in 2016.

The Affordable Care Act has expanded high-quality, affordable health insurance coverage to millions of Americans. One way it’s expanding coverage is by offering financial support to states that opt to expand Medicaid eligibility to all non-elderly individuals in families with incomes below 133 percent of the poverty line.

Twenty-six states and the District of Columbia have seized this opportunity — and as a result, 5.2 million people have gained Medicaid or Children’s Health Insurance Program (CHIP) coverage since the beginning of the Affordable Care Act’s first open enrollment period. This number will only grow in the months and years ahead as Medicaid enrollment continues.

But 24 states have not yet expanded Medicaid — including many of the states that would benefit most. If they don't opt to expand Medicaid, 5.7 million people will be deprived of health insurance coverage in 2016, and these states will forgo billions in federal dollars that could boost their economies.

Learn more below about the impacts of Medicaid expansion, and read the full report on the consequences of states' decisions not to expand Medicaid.
Get the Numbers for Each State

The map below shows how Medicaid expansion will help more people in each state across a number of indicators — including access to affordable health insurance, new jobs created, and preventive care.

Choose a data resource on the right side of the map, and click on a state for more information.

See the Infographic

Ultimately, Republicans are denying life sustaining coverage to people who cannot afford to be left with less of no medical coverage options. 

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