CMS releases guidance on MAGI

Posted on December 28, 2012 | No Comments

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The Department of Health and Human Service’s (HHS’s) Centers for Medicare & Medicaid Services (CMS) today announced new guidance to help states as they begin to plan converting current net income eligibility thresholds to equivalent modified adjusted gross income (MAGI) thresholds in the Medicaid program and Children’s Health Insurance Program (CHIP). The CMS publication describes the conversion methodology and the timeframe for executing the conversions.

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This Implementation Brief Update discusses CMS’ May 17, 2013, State Health Official Letter, the purpose of which is to advise states on options to facilitate Medicaid and CHIP enrollment and renewal. The letter lays out “optional strategies that can help make significant progress toward reducing the number of uninsured individuals” as well as “optional tools to help states manage the transition to their new eligibility and enrollment systems and coverage of new Medicaid enrollees.” The letter is intended to help states make the transition to the simplified Medicaid and CHIP enrollment system that must be in place in all states beginning January 1, 2014, in accordance with ACA §2201. The mandatory nature of the enrollment simplification requirement was not affected by the United States Supreme Court’s decision in NFIB v Sebelius, which permits states to opt out of the adult Medicaid eligibility expansion group...
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