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Posts by Judith Solomon

Married Couples With Medicaid Home- and Community-Based Services Could Lose Critical Protections

March 13, 2019

Some seniors and people with disabilities receiving home- and community-based services (HCBS) again face the possibility of losing their Medicaid eligibility and having to enter nursing homes to get needed care, because a three-month extension of “spousal impoverishment” protections expires on March 31.

Before 1988, married couples often faced significant hardship when one spouse needed...

States Have Shifted Spending to Home- and Community-Based Services, and Away From Institution-Based Services

Married Couples Receiving Medicaid Home- and Community-Based Services Risk Losing Protections Without Congressional Action

January 8, 2019

Some seniors and people with disabilities receiving home- and community-based services (HCBS) could lose their Medicaid eligibility and have to go into nursing homes to get needed care, because the President and Congress haven’t extended “spousal impoverishment” protections that expired on December 31. The House is expected to consider legislation today to extend the protections for three...

States Have Shifted Spending to Home- and Community-Based Services, and Away From Institution-Based Services

Protections for Married Couples Receiving Medicaid Home- and Community-Based Services End on December 31 Without Congressional Action

December 3, 2018

Some seniors and people with disabilities receiving home- and community-based services (HCBS) could lose their Medicaid eligibility and have to go into nursing homes to get needed care if Congress adjourns without extending “spousal impoverishment” protections that are set to expire on December 31.

Before 1988, married couples often faced significant hardship when one spouse needed care...

States Have Shifted Spending to Home- and Community-Based Services, and Away from Institution-Based Services

Administration’s Re-Approval of Kentucky’s Medicaid Waiver Again Ignores Harm to Beneficiaries

November 21, 2018

The Trump Administration has re-approved Kentucky’s Medicaid waiver after a federal district court struck down an almost identical earlier version, but the Administration still didn’t show how a waiver that would take coverage away from beneficiaries who...

Doctor Administering Shot to Patient

Kentucky Medicaid Waiver Reapproval Would Hurt Wide Range of Beneficiaries

August 22, 2018

Although a federal court has rejected the Centers for Medicare & Medicaid Services’ (CMS) approval of a Kentucky Medicaid waiver that will take away people’s Medicaid coverage if they don’t work or participate in work-related activities, CMS is again considering Kentucky’s proposal. In a...

Taking Blood Pressure

More Evidence That Complex Medicaid Waivers Will Likely Cause Harm

June 25, 2018

State experiments to test whether premiums and complex incentives can encourage Medicaid enrollees to adopt healthy behaviors haven’t achieved their goals, partly because many enrollees don’t fully understand the new rules. Nevertheless, the Trump Administration has approved state proposals...

Indiana State Map

“Healthy Michigan” Bill Puts Health Coverage for 670,000 People at Risk

June 8, 2018

Michigan lawmakers just passed a bill requiring the state to apply for a federal waiver to take away Medicaid coverage from people who don’t meet work requirements and charge Medicaid premiums that total 5 percent of an enrollee’s household income. The premiums would...

Stethoscope and money - High res

Complex Medicaid Changes Likely to Cost Many People Coverage

May 30, 2018

Arkansas, which received Trump Administration approval for a demonstration project (or “section 1115 waiver”) to take Medicaid coverage away from people who don’t work or engage in work activities for a set number of hours each month, will begin implementing the new rules on June 1.  The Administration has also approved work requirement proposals from Indiana, Kentucky, and New Hampshire and...

Health Insurance Forms

GAO: State Evaluations of Medicaid Waivers Lack Key Data, Findings

March 5, 2018

The Trump Administration’s decision to let states make unprecedented and radical changes to Medicaid through demonstration projects, such as requiring that beneficiaries work or engage in work-related activities, reinforces the need for well-designed, timely evaluations of state demonstrations. A recent Government Accountability Office (GAO) ...

Doctor

Arkansas’ Harsh Medicaid Work Requirement Jeopardizes Recent Progress

March 5, 2018

Update, March 6: we’ve updated this post with revised data from the Urban Institute.

The Trump Administration’s approval today of Arkansas’ harsh work requirement inMedicaid will likely set back the state’s considerable progress under the Affordable Care...

Medicaid Work Requirement Will Mostly Affect Arkansans Who Are Working, Ill or Disabled, or Caregivers

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