ACA-related State Plan Amendments in Medicaid

ACA-related State Plan Amendments in Medicaid

Executive Summary

The Affordable Care Act (ACA) brought significant changes to the Medicaid program, including expanded coverage opportunities for adults under 65 with incomes under 138 percent of the Federal Poverty Level (FPL) and new methodologies for determining and renewing eligibility.
States must update their existing Medicaid state plans to implement these changes.These ACA-related State Plan Amendments (SPAs) require states to make important policy decisions which may expand or limit coverage for their Medicaid beneficiaries. This issue brief highlights some of the key state-policy decision points under the SPAs, and provides recommendations for advocates seeking to expand Medicaid eligibility in their states.

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