Waiver priorities have been identified by the Trump Administration and present countless opportunities for states and carriers, alike. As states move to expand Medicaid through Section 1115 waivers, Medicaid Managed Care Organizations (MCOs) must look toward MITA-aligned, HIPAA-compliant financial management solutions.
To date, 33 states and the District of Columbia have expanded their programs, 8 utilizing a Section 1115 Waiver. Another 17 are not currently expanding, however, their interest will soon be measured on ballots this Fall.
Overall, the impacts have been significant; coverage, access to care, and delivery system reform have all seen changes. Medicaid expansion has positively affected utilization of services, the affordability of care, and financial security among the low-income population. According to Kaiser Family Foundation (KFF), Medicaid expansion states have also experienced significant coverage gains and reductions in uninsured rates – among the low-income population broadly and within specific vulnerable populations.
400,000 Virginians will soon benefit, following Wednesday’s decision by state legislature, to expand its Medicaid program.
Virginia joins 32 states and the District of Columbia in expanding its public health insurance program under the Affordable Care Act. The new health care law, which is slated to take effect on January 1, would introduce changes to Virginia’s Medicaid program, which, according to reports, is one of the most “restrictive” in the nation.
Section 1332 waivers, or state innovation waivers, allow states to apply to the federal government to waive certain provisions of the Affordable Care Act (ACA). This can allow the states to pursue innovative strategies for providing residents with access to quality, affordable insurance, while retaining the law’s basic protections. In this blog we evaluate state’s waiver approval statuses.
Below is our analysis for states with approved, pending, and withdrawn requests.