Section 1115 Medicaid waivers allow states to explore new options for providing health coverage to persons who would otherwise not be eligible and allow states to examine innovative ways to deliver care by waiving certain requirements of the Medicaid Act.
While waivers can be important tools that can help states respond to the needs of low-income individuals, they also present concerns for health advocates working to protect the rights of Medicaid enrollees and promote transparency in state waiver processes.
Sec. 1115 of the Social Security Act allows the Secretary of Health and Human Services to waive some requirements of the Medicaid Act so that states can test novel approaches to improving medical assistance for low-income people.
Under the current administration, several states are seeking waivers to impose harmful cuts and restrictions. The first set of harmful waivers have been approved for Kentucky and Arkansas, with a number of states seeking to enact similar changes to Medicaid. Learn more about Medicaid waivers and how the National Health Law Program is combating the Trump administration’s illegal use of waivers to weaken Medicaid.
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- July 23, 2013
Screening for Eligibility for Medicaid Expansion/Interested in Advocacy? Introduction: Under the Affordable Care Act, states have been given the option to expand their Medicaid programs to cover non-disabled adults without children with incomes up to 138% of the federal poverty level. We are working to identify people who might potentially qualify for this new Medicaid Expansion, should Florida choose to expand their current program. Do you mind if I ask you a few questions to see if you might qualify? Name: Address: Phone: How old are you? Adults ages 18 to 65 are eligible. How many people live in your household? What is your monthly income? Use chart below to determine if their income qualifies. Monthly income limits for Medicaid Expansion (up to 138% FPL) based on household size are: 1 $1,285 2 $1,740 3 $2,196 4 $2,651 5 $3,106 6 $3,562 7 $4,017 8 $4,473 Are you a citizen or have you legally resided in the U.S. for 5 years or more? YES NO Immigration requirements are the same as for regular…
- July 23, 2013
WHITE PAPER: MEDICAID EXPANSIONI. SUMMARY The Florida Legislature has a historical opportunity to extend health care coverage to approximately one million low-income, working Floridians who currently have no prospect of obtaining affordable coverage. Not only will expanding Medicaid have a positive impact on the lives and health of our fellow citizens, it will bring over $24 billion of federal funding into our state economy. II. BACKGROUNDIn its recent landmark decision, the U.S. Supreme Court upheld the Patient Protection and Affordable Care Act (?PPACA?). The PPACA requires all states to expand their Medicaid programs to cover most people with incomes up to 138% of the federal poverty level (?FPL?),1 but the Court held that states that do not implement the expansion for adults will not lose federal funding for existing Medicaid programs. Therefore, each state has the choice of whether to go forward with this Medicaid Expansion. To be eligible for Florida?s current Medicaid program, adults must be very poor and either have minor children or be disabled.2 Florida?s income limit for parents is less than 25% FPL. A single parent with two children can only earn an income of $303 per month or less after disregards ($3,600 annually) to be eligible for Florida Medicaid, and a single disabled adult can only make $698…