The dollar amount of improper payments in Medicaid was bound to rise because ObamaCare vastly opened eligibility. In 2015 enrollment climbed by 13.8% and one of five Americans are now covered by the program. …In recent audits of Medicaid in Arizona, Florida, Michigan and New Jersey, the GAO...
Although states determine MMC enrollment (exempt, voluntary, or mandatory) based on Medicaid eligibility categories (eg, low-income adults; aged, blind, or disabled), data on the NSDUH respondents’ Medicaid eligibility categories and corresponding category-specific MMC penetration rates were not availab...
5 In addition, CMS will require that new beneficiaries have a choice of at least two qualified health plans in the marketplace before the agency will approve any section 1115 waiver request. Arkansas’ plan tightens its eligibility requirements for its state Medicaid program, leaving a greater sha...
For years, states have had the option through the Affordable Care Act to allow qualified hospitals to extend presumptive eligibility to some adults based on their income, on top of the opportunity that most states give pregnant women and children. But in states such as Montana, people 65 and ...
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