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.
Chapters:
- Medicaid and CHIP in the Context of the ACA
- Promoting Continuity of Medicaid Coverage among Adults under Age 65
- Issues in Pregnancy Coverage under Medicaid and Exchange Plans
- ACA Eligibility Changes: Program Integrity Issues
- Children’s Coverage under CHIP and Exchange Plans
- Examining the Policy Implications of Medicaid Non-Disproportionate Share Hospital Supplemental Payments