[Missouri-l] 5 Ways Health Reform Helps Medicaid Beneficiaries

Fri Mar 16 16:58:38 CDT 2012

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NHeLP is celebrating the second anniversary of the Affordable Care Act (ACA)
next week by releasing a "Top 5" factsheet each day that highlights
important aspects of the ACA.  Today, we are kicking off the anniversary
week early with a Top 5 focusing on Medicaid.  For more information on
NHeLP's ACA second anniversary activities, click
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#1 in a series of 6

5 Ways Health Reform Helps 
Medicaid Beneficiaries

1.    ALREADY IN PLACE: Protection for Medicaid enrollees 
The ACA included a "Maintenance of Effort" provision prohibiting states from
cutting eligibility for adults until 2014 and children until 2019. If states
do not comply, they can be sanctioned and lose all federal Medicaid funding.
This provision has protected the Medicaid coverage of millions of
individuals who would otherwise have lost Medicaid as states sought to
reduce spending due to the poor economy.

2.    ALREADY IN PLACE: More preventive care 
The ACA includes numerous provisions which expand access to preventive
services. For example, the ACA has already distributed "Medicaid Incentives
for Prevention of Chronic Disease" grants for states to engage in diabetes
prevention, cholesterol and blood pressure screening, and tobacco cessation.
Starting in 2013, Medicaid preventive benefits will include a broader array
of services and states will receive increased federal funding if they
provide these services without cost-sharing. Another provision requires
that, starting in 2014, many Medicaid enrollees will receive some services
that may be new to Medicaid, such as habilitative services, and will have
access to a wide range of women's health services.

3.    COMING SOON: Medicaid expansions
Starting in 2014, the ACA creates a new Medicaid eligibility category
covering nearly all uninsured individuals living under 138% of the federal
poverty level. Sixteen million people will be newly eligible for Medicaid.
The ACA also creates other options for states including expanding family
planning services, providing new home and community based services and
programs, and offering other services for higher income individuals not
otherwise eligible for Medicaid.

4.    COMING SOON: Better access to primary care providers
The ACA will substantially increase the Medicaid payment rates in 2013 for
certain primary care providers (internal medicine, family medicine and
pediatrics). These providers will get the higher Medicare payment rate for
primary care services. This provision will help improve access to primary
care providers for enrollees and support the safety-net providers who take
care of underserved populations.

5.    COMING SOON: Improved enrollment processes 
The ACA heavily invests in simplifying the process of enrolling in health
care. Starting in 2014, states must have one streamlined application process
for all health care programs, including Medicaid and private exchange
insurance plans including available subsidies. The ACA also provides
start-up funding for state consumer assistance programs and health care
navigators to ensure that every individual receives help understanding her
options and getting enrolled.

Here's how NHeLP is working to make health reform a reality:

.         NHeLP has filed a brief with the U.S. Supreme Court in defense of
the ACA's Medicaid expansion. Brief available
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=> here.

.         NHeLP has written regulatory comments to help protect the rights
of consumers in the new Medicaid expansion and enrollment processes.
Comments available
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8DMnJ08RLqsRHQ8BOZxDbAf_WHZMYoKo_JzwFPXmJy-8SjfLu0cD-> here.

.         NHeLP has advocated, led national sign-on letters, and written
comments to help improve the Essential Health Benefits standard. Comments
available
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R_KCvItzLRFvLWAWVVo_a> here.

.         NHeLP has worked in numerous states to develop expansions in
Medicaid and other related programs, such as the Basic Health Plan option.
Basic Health Plan issue brief available
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MphXd4EpW-LHrnvStZiBq30GgxC5UpyCZMca6f-rsrQ==> here.

Health reform has done so much already - let's finish the job!

For questions or comments, please email  <mailto:nhelp at healthlaw.org>
nhelp at healthlaw.org.   For more information on NHeLP's ACA second
anniversary activities, click
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=> here. 

The National Health Law Program protects and advances the health rights of
low income and underserved individuals.  The oldest non-profit of its kind,
NHeLP advocates, educates and litigates at the federal and state levels. 

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