How is the Affordable Care Act leading to changes in Medicaid today? : state adoption of five new options Policy brief (Kaiser Commission on Medicaid and the Uninsured) United States. Health Care Reform Medicaid -- organization & administration One primary goal of the Affordable Care Act (ACA) is to significantly reduce the number of uninsured through a Medicaid expansion and the creation of new health insurance exchanges. In addition, the law provides states a range of new opportunities and federal financing alternatives for their Medicaid programs. This brief provides an overview of five key Medicaid options provided by the ACA and state take up of these to date. As of May 2012, nearly every state (43 states and DC) has taken steps forward with at least one of the five options. To date, most state participation has been in funding to upgrade Medicaid eligibility systems (28 states and DC) and test integrated care models for dual eligible beneficiaries (26 states). Washington, DC : Henry J. Kaiser Family Foundation, May 2012 Henry J. Kaiser Family Foundation. Kaiser Commission on Medicaid and the Uninsured. Technical Report Text Illustrations 1 online resource (1 PDF file (11 pages)) nlm:nlmuid-101591327-pdf 101591327 http://resource.nlm.nih.gov/101591327 English United States Reproduced with permission of the copyright holder. Further use of the material is subject to CC BY license. https://creativecommons.org/licenses/by/4.0