State Medicaid Programs Are Trying to Adjust to the ACA

The main focus for state Medicaid directors is implementing the ACA and reforming delivery systems in fiscal years 2014 and 2015, according to a report by the Kaiser Family Foundation. “Whether a state elected to expand or not, Medicaid programs across the nation are being transformed with new enrollment procedures and outreach efforts combined with increased emphasis on delivery systems reforms,” said Diane Rowland, executive vice president of the Foundation and executive director of the KCMU.

All states are streamlining Medicaid enrollment and renewal, transitioning to uniform income eligibility standards, and coordinating with new ACA insurance exchanges. State Medicaid officials are implementing or expanding Medicaid health homes, patient-centered medical homes, and initiatives to integrate care and financing for dual-eligible beneficiaries. The majority of states are expanding long-term care services in home or community-based settings. With improvements in the economy, more states have been implementing provider rate and benefit enhancements.

States expect the number of people enrolled in Medicaid to increase 13.2% in fiscal year 2015, which runs through June in most states. The 28 states (including the District of Columbia) that are implementing the Medicaid expansion for fiscal year 2015 expect to see the largest enrollment and spending growth — an 18% increase in enrollment and an 18.3% increase in total Medicaid spending in fiscal year 2015. For more information, visit

Last Updated 08/10/2022

Arch Apple Financial Services | Individual & Family Health Plans, Affordable Care California, Group Medical Insurance, California Health Insurance Exchange Marketplace, Medicare Supplements, HMO & PPO Health Care Plans, Long Term Care & Disability Insurance, Life Insurance, Dental Insurance, Vision Insurance, Employee Benefits, Affordable Care Act Assistance, Health Benefits Exchange, Buy Health Insurance, Health Care Reform Plans, Insurance Agency, Westminster, Costa Mesa, Huntington Beach, Fountain Valley, Irvine, Santa Ana, Tustin, Aliso Viejo, Laguna Hills, Laguna Beach, Laguna Woods, Long Beach, Orange, Tustin Foothills, Seal Beach, Anaheim, Newport Beach, Yorba Linda, Placentia, Brea, La Habra, Orange County CA

12312 Pentagon Street - Garden Grove, CA 92841-3327 - Tel: 714.638.0853 - 800.731.2590
Copyright @ 2015 - Website Design and Search Engine Optimization by Blitz Mogul