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The ACA and Medicaid Expansion WaiversWaivers Search Results « » The Henry J. Kaiser Family Foundation

Under the Affordable Care Act (ACA), Medicaid plays a key role in efforts to reduce the number of uninsured by expanding eligibility to nearly all low income adults with incomes at or below 138 percent of the federal poverty level ($16,242 per year for an individual in 2015) with 100 percent  federal financing for the first three years, gradually decreasing to 90 percent. However, the 2012 Supreme Court ruling on the ACA’s constitutionality effectively made the expansion a state option. As of December 2015, 31 states including DC have adopted the expansion, and nearly all are implementing it as set forth by the law. A limited number of states have obtained or are seeking approval through Section 1115 waivers to implement the expansion in ways that extend beyond the flexibility provided by the law.  In some cases, these alternative models to implement the expansion are seen as a politically viable way to extend coverage and capture enhanced federal matching funds for newly eligible adults.  This page highlights some key resources examining ACA Medicaid expansion waivers and, farther down, also provides the standard search result page for a site-wide search on the “waivers” tag.
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The Henry J. Kaiser Family Foundation

Federal Medicaid Waiver Financing:  Issues for California

Federal Medicaid Waiver Financing: Issues for CaliforniaThis issue brief focuses on the potential fiscal implications of a section 1115 Medicaid waiver for California.Report (.pdf)

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The Henry J. Kaiser Family Foundation

The Impact of Recent Changes in Health Care Coverage for Low-Income People:  A First Look at the Research Following Changes in Oregon’s Medicaid Program

The Impact of Recent Changes in Health Care Coverage for Low-Income People: A First Look at the Research Following Changes in Oregon's Medicaid ProgramOregon recently restructured its Medicaid program through a Section 1115 waiver and other program changes, largely in response to particularly difficult state budget problems. This report summarizes…

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The Henry J. Kaiser Family Foundation

Recent Growth in Medicaid Home and Community-Based Service Waivers

Medicaid spending on home and community-based service (HCBS) waivers dominates spending on community-based long-term care services offered through the Medicaid program. This paper examines trends in HCBS waiver enrollment and spending in recent years. Report (.pdf)

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The Henry J. Kaiser Family Foundation

An Overview of the Independence Plus Initiative to Promote Consumer-Direction of Services in Medicaid

This issue brief provides an overview of the Independence Plus Initiative, compares core program features with the Cash and Counseling Demonstration program, and discusses several policy issues that arise in the implementation of this initiative.Issue Paper (.pdf)

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The Henry J. Kaiser Family Foundation

Assessing the Role of Recent Waivers in Providing New Coverage

This analysis finds that recent waivers have expanded coverage in important ways in a few states, but, overall, the number of people who have gained new coverage under recent waivers has been quite limited, well below projections and small compared to overall growth in Medicaid enrollment.Issue Paper (.pdf)

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The Henry J. Kaiser Family Foundation

Medicaid:  Current Benefits and Flexibility

Medicaid: Current Benefits and FlexibilityTwo issue briefs discuss the minimum requirements for states to receive federal Medicaid matching funds and the options states have under federal law and waivers to tailor their Medicaid programs.Medicaid as a Health Insurer: Current Benefits and FlexibilityMedicaid as a Long-term Care Program: Current Benefits and…

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The Henry J. Kaiser Family Foundation

Medicaid as a Long-Term Care Program: Current Benefits and Flexibility

This brief focuses on one subset of “flexibility” issues: the current federal benefits and cost-sharing rules that apply with respect to long-term care.Issue Paper (.pdf)

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The Henry J. Kaiser Family Foundation

Medicaid as a Health Insurer: Current Benefits and Flexibility

This issue brief focuses on one subset of “flexibility” issues: the current federal benefits and cost-sharing rules that apply with respect to acute care. Issue Paper (.pdf)

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The Henry J. Kaiser Family Foundation

Serving Low-Income Families Through Premium Assistance: A Look At Recent State Activity

This issue paper examines the policies in the HIFA waiver initiative that provide incentives for states to use Medicaid/SCHIP funds to assist in the purchase of private insurance options. It also reports on how states have responded to these new policies and what key policy questions are raised about premium…

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The Henry J. Kaiser Family Foundation

Illinois Section 1115 Waiver Fact Sheet

Fact Sheet (.pdf)

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