Implications of CMS's new "Healthy Adult Opportunity" demonstrations for Medicaid

Implications of CMS's new "Healthy Adult Opportunity" demonstrations for Medicaid

Collection:
Health Policy and Services Research
Series Title(s):
Issue brief (Henry J. Kaiser Family Foundation)
Author(s):
Rudowitz, Robin, author
Musumeci, MaryBeth, author
Garfield, Rachel, author
Hinton, Elizabeth, author
Contributor(s):
Henry J. Kaiser Family Foundation, issuing body.
Publication:
San Francisco, CA : Henry J. Kaiser Family Foundation, February 2020
Language(s):
English
Format:
Text
Subject(s):
Eligibility Determination
Medicaid -- organization & administration
Arkansas
United States
Genre(s):
Technical Report
Abstract:
On January 30, 2020, the Centers for Medicare and Medicaid Services (CMS) released guidance inviting states to apply for new Section 1115 demonstrations known as the "Healthy Adult Opportunity" (HAO). These demonstrations would permit states "extensive flexibility" to use Medicaid funds to cover Affordable Care Act (ACA) expansion adults and other nonelderly adults covered at state option who do not qualify on the basis of disability, without being bound by many federal standards related to Medicaid eligibility, benefits, delivery systems, and program oversight. In exchange, states would agree to a limit on federal financing in the form of a per capita or aggregate cap. States that opt for the aggregate cap and meet performance standards could access a portion of federal savings if actual spending is under the cap. HAO demonstrations differ from other Medicaid demonstrations already granted by this Administration in several ways, including the scope of flexibility offered to states and the capped federal funding. This issue brief explains the key elements of the HAO guidance (Figure 1) and considers the implications of the new demonstrations.
Copyright:
Reproduced with permission of the copyright holder. Further use of the material is subject to CC BY license. (More information)
Extent:
1 online resource (1 PDF file (8 pages))
Illustrations:
Illustrations
NLM Unique ID:
101779112 (See catalog record)
Permanent Link:
http://resource.nlm.nih.gov/101779112