As of January 27, 2015, two states have received approval from the Centers for Medicare and Medicaid Services to expand Medicaid through private market-based coverage. These premium assistance programs have paved the way for the non-expansion states who continue to discuss how they might expand their Medicaid programs. These new models offer viable alternatives for covering previously uninsured populations while addressing those states’ concerns about some of the budgetary, political, and market challenges associated with traditional Medicaid expansion.
During this webinar, Manatt Health Solutions will provide an overview of Medicaid Marketplace Premium Assistance and outline the authorization vehicles through which a state may establish a program. The presentation will also detail the federal requirements for and the operational implications of implementation with respect to: eligibility for the program, benefits and network adequacy, premiums and cost-sharing, shopping and enrollment, and interagency cooperation. John Selig, the Director of the Arkansas Department of Human Services, also will be participating and will offer Arkansas’ experience with implementation of their program.