Feds limit Medicaid picks

Share this article:

While the administration has been flexible about numerous aspects of Medicaid expansion called for in the healthcare reform law, there is at least one thing that is not negotiable: States will not get full federal funding from states that go only part way on expanding their Medicaid programs.

It had been a question on many state execs' and providers' minds until Health and Human Services Secretary Kathleen Sebelius made the declaration in a letter to governors in mid-December. 

Several states had floated the idea of allowing a partial expansion. The Affordable Care Act says states should expand Medicaid in 2014 to cover anyone earning 138% or less of the federal poverty level. That's around $32,000 for a family of four. 

The decision means, for example, that a state can't decide to fund expansions for just up to 90% of the federal poverty level. 

HHS noted that it would consider waivers for states in 2017, when federal funding begins to scale back. 


Share this article:

More in News

Hospitals in the Midwest refer patients to the broadest networks of skilled nursing facilities, study finds

Hospitals in the Midwest refer patients to the ...

Midwestern hospitals spread referrals to the greatest variety of skilled nursing facilities and tap their favorite SNFs least often, according to a recently published analysis of nationwide referral patterns.

Bill would affect pay, scheduling for some nursing home housekeeping staff

Nursing homes could face more stringent scheduling requirements for housekeeping workers and might be on the hook to compensate them for last-minute shift changes under a bill proposed in both houses of Congress.

Joint Commission adds memory care accreditation

New memory care accreditation for nursing homes encourages staff to use a flexible, problem-solving approach to care for those with dementia, according to Joint Commission guidelines.