States May Drop Medicaid Expansion, CMS Says
"The ability to opt out is certainly better than no option," Salo says, adding that "some states have been reluctant because "they had felt trapped by the permanency of it. But I don't think that in and of itself is enough to say that states will feel better about adopting the Medicaid expansion."
Too many other questions about how the Medicaid expansion would work need to be answered soon, says Salo, whose organization last month sent a list of 47 questions about the protocols for the expansion programs to CMS.
Questions about the Medicaid expansion provisions of the Affordable Care Act emerged June 28 after the U.S. Supreme Court ruled on a provision of the law that said if states did not expand their Medicaid programs to 138% of the federal poverty level, the point at which subsidies for the federal exchanges would kick in, would not lose all their federal Medicaid funding match, which ranges around 50%. The court declared that invalid, saying that states could opt out of the expansion to 138% without losing all their funding.
Some 30 states, including many that challenged the constitutionality of the Patient Protection and Affordable Care Act, such as Texas and Florida, have said they don't intend to expand, while others are await further clarifications before announcing their decisions.
- MU Compliance Announcement Sparks Concern, Confusion
- New G-Codes to Pay Doctors for Broad Array of Non-Face-to-Face Care
- Scary Financial Challenges for 2014
- Telehealth Improves Patient Care in ICUs
- CMS Sets 2014 Pay Rates for Hospital Outpatient and Physician Services
- LifePoint Bolsters Presence in Michigan's Upper Peninsula
- 1 in 5 CT Screenings for Lung Cancer Results in Overdiagnosis
- States Rejecting Medicaid Expansion Forgo Billions in Federal Funds
- Douglas Hawthorne—A Chance to Do Something Big
- MGMA Urges 'End-to-End' ICD-10 Testing