![]() ![]() Maine implemented expansion on January 10, 2019. Kentucky’s expansion program was originally implemented and continues to operate under state plan amendment (SPA) authority. The waiver had included a number of provisions including a work requirement, monthly premiums up to 4% of income, and coverage lockouts for failure to timely renew eligibility or timely report a change in circumstances. On December 16, 2019, newly elected Democratic Governor Andy Beshear signed an executive order rescinding the Kentucky HEALTH waiver that had been set aside by the court in March 2019. The state submitted four waivers at direction from this legislation however, only one has been approved to date. Following a successful expansion ballot measure in November 2018, in 2019 Governor Brad Little signed a bill passed by the legislature that directed the Idaho Department of Health and Welfare to seek waivers for multiple changes to the expansion program and specified that if the waivers were not approved by January 1, 2020, then all individuals up to 138% FPL will be enrolled in Medicaid. Under ARHOME, Arkansas is requesting to allow the state’s Qualified Health Plans (QHPs) to incentivize enrollee participation in health and economic independence initiatives and to consider QHP enrollees who do not participate in these incentives as “inactive” and reassign them to the state’s fee-for-service program this aspect of the request is still pending CMS approval.Įnrollment in Medicaid coverage under expansion began on November 1, 2019, and coverage for these enrollees began on January 1, 2020. Unlike Arkansas Works, ARHOME does not include work requirements. CMS also notified Arkansas that it would phase out the state’s premium requirement for the expansion population by the end of 2022. In December 2021, CMS approved Arkansas’ Section 1115 waiver request which would replace the state’s current Medicaid expansion program, Arkansas Works, with the Arkansas Health and Opportunity for Me (ARHOME) program. ![]() ![]() STATES THAT HAVE ADOPTED AND IMPLEMENTED EXPANSION In some states, these included previously-approved Section 1115 work requirements that have since been withdrawn by CMS under the Biden Administration. Coverage under the Medicaid expansion became effective Januin all states that have adopted the Medicaid expansion except for the following: Michigan (), New Hampshire (), Pennsylvania (), Indiana (), Alaska (), Montana (), Louisiana (), Virginia (), Maine ( with coverage retroactive to ), Idaho (), Utah (), Nebraska (), Oklahoma (), and Missouri (Processing applications beginning with coverage retroactive to ).Īrizona, Arkansas, Indiana, Iowa, Michigan, Montana, and Utah have approved Section 1115 waivers to operate their Medicaid expansion programs in ways not otherwise allowed under federal law. ![]()
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