State Role

*Require states to enroll newly eligible Medicaid beneficiaries into the state Medicaid programs and to implement the specified changes with respect to provider payment rates, benefit enhancements, quality improvement, and program integrity.

*Require states to maintain Medicaid and CHIP eligibility standards, methodologies, or procedures that were in place as of June 16, 2009 as a condition of receiving federal Medicaid or CHIP matching payments.

*Require states to enter into a Memorandum of Understanding with the Health Insurance Exchange to coordinate enrollment of individuals in Exchange-participating health plans and under the state’s Medicaid program.

*May require states to determine eligibility for affordability credits through the Health Insurance Exchange.

Kaiser, H. (Oct2005). Focus on health reform: Health care reform proposal. Retrieved on Nov. 25, 2009 from http://www.kff.org/healthreform/upload/healthreform_tri_full.pdf

Vangie Yazzie