Roughly one in two Puerto Ricans (49%) are enrolled in the island’s Medicaid program. This fact sheet provides an overview of the Medicaid program in Puerto Rico and emerging fiscal issues facing its health care system as Zika cases on the island continue to mount.
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This fact sheet discusses CMS’s denial of Ohio’s proposed changes to its existing Medicaid expansion . It also provides an overview of the proposed changes as included in the state’s Section 1115 demonstration waiver application.
Findings from the Field: Medicaid Delivery Systems and Access to Care in Four States in Year Three of the ACA
Based on case studies and focus groups, this brief reviews delivery systems and access to care for Medicaid enrollees in Colorado, Connecticut, Kentucky, and Washington as of Spring 2016. The findings provide an on-the-ground view of Medicaid delivery systems and enrollees’ experiences accessing care three years after implementation of the Medicaid expansion. This brief builds on previous reports that examined states’ preparation for implementation prior to the initial ACA open enrollment period and their experiences after completion of the first and second open enrollment periods.
Based on case studies and focus groups, this brief reviews experiences with Medicaid and Marketplace enrollment, renewal, and consumer assistance in Colorado, Connecticut, Kentucky, and Washington as of Spring 2016. These states implemented the Medicaid expansion and established a state-based Marketplace (SBM) in 2014. This brief builds on previous reports that examined states’ preparation for implementation prior to the initial ACA open enrollment period and their experiences after completion of the first and second open enrollment periods.
On June 22, 2016, Governor Bevin released his proposed Section 1115 demonstration waiver application called Kentucky HEALTH (Helping to Engage and Achieve Long Term Health) as an alternative to the current Medicaid expansion which is being implemented through a state plan amendment according to the terms in the ACA. This fact sheet summarized the proposed changes to the current Medicaid expansion in Kentucky.
Puerto Rico: Fast Facts provides a quick snapshot of the island’s demographic characteristics, and health and economic statistics. It also provides some information on governance, federal Medicaid rules, and current issues affecting the territory, including Zika.
These slides provide a quick snapshot of Puerto Rico’s population, as well as current and upcoming issues that are impacting the island’s health care system.
Medicaid and CHIP programs have made significant strides in improving low-income children’s access to and use of dental care, but access to oral health care for low-income adults lags far behind. To probe current opportunities, challenges, and strategies related to expanding access to oral health care for adults in Medicaid, the Kaiser Commission on Medicaid and the Uninsured convened a group of experts and stakeholders in Spring 2016 to discuss the issues. This brief conveys key themes that emerged from the conversation.
Health Plan Enrollment in the Capitated Financial Alignment Demonstrations for Dual Eligible Beneficiaries
This chart and a related fact sheet show enrollment in the capitated financial alignment demonstrations as of June, 2016.
This fact sheet describes how seniors qualify for Medicaid long term services and supports (LTSS), what LTSS covers, how much Medicaid spends on LTSS, and current policy issues.