This state report explains how the ACA expands coverage in Montana, including a breakdown of how many uninsured people are eligible for Medicaid, how many are eligible for financial assistance to help them buy private insurance in the new Marketplace and how many will not receive any financial assistance at all. The report also details, in specific dollar figures, the income levels at which people in Montana are eligible for Medicaid or financial assistance in the Marketplace. For states not expanding Medicaid, the report quantifies how many uninsured people fall into the “coverage gap,” meaning they will be ineligible for financial assistance in the Marketplace or for Medicaid in their state despite having an income below the federal poverty level.
- state & global data
- view as grid
- view as list
This fact sheet describes Montana’s Section 1115 and briefly describes Montana’s Section 1915(b) waivers, together called the Health and Economic Livelihood Partnership (HELP) Program, that expand the state’s Medicaid program under the ACA.
This brief focuses on Section 1115 Medicaid demonstration waivers related to implementation of the ACA Medicaid expansion (eligible for ACA enhanced matching funds) or other coverage (not eligible for ACA enhanced matching funds). To date, six states are currently implementing or planning to implement the Medicaid expansion through an approved Section 1115 Waiver (Arkansas, Iowa, Michigan, Indiana, New Hampshire, and Montana). New Hampshire and Montana will be effective in January 2016. Pennsylvania received waiver approval, but transitioned to a state plan amendment in mid-2015, so Pennsylvania is not included in the discussion of current and pending waivers.
In addition, two states currently have waiver proposals pending with CMS: Arizona and Michigan. Arizona implemented the expansion, but is now seeking changes based on state law. Michigan has a pending waiver amendment seeking changes required by state law to continue its expansion after April 2016.
Updated as of April 19, 2013 Establishing the Exchange In December 2012, Montana’s elected State Auditor Monica Lindeen (D) confirmed that the federal government would operate a health insurance exchange in Montana.1 The previous year, two proposed bills (HB620 and HB124) to establish a health insurance exchange in Montana failed.2,3 Instead, the…