Eligibility Policy | Medicaid Eligibility for children was extended to at least 133% of the federal poverty level (FPL) in every state (most states cover children to higher income levels), and states were given the option to extend eligibility to adults with income at or below 133% of the FPL
Why did they do it that way? Eligibility policy All states and territories cover the same mandatory eligibility groups, including low-income families, pregnant people, and people with disabilities
Eligibility, Enrollment, and Renewal: Case Study Findings - MACPAC SHADAC examined eligibility, enrollment, and renewal practices for beneficiaries whose income eligibility is determined based on modified adjusted gross income (MAGI) in six states The synthesis report, as well as the individual case studies can be found on the MACPAC website
Introduction to Medicaid - Center on Budget and Policy Priorities Medicaid is an “entitlement” program: anyone who meets its eligibility rules (including income, state residency, and immigration status requirements) has a right to enroll That also means states have guaranteed federal financial support for part of the cost of their Medicaid programs
Medicaid policy data for evaluating eligibility and programmatic . . . Our objective is to fill this gap by synthesizing existing qualitative policy data to create a new data resource that facilitates Medicaid policy research These data can be easily combined with health insurance claims, surveys, or other forms of quantitative data
Medicaid: Eligibility - US Policy - World Health Systems Facts Some eligibility pathways are mandatory, meaning all states with a Medicaid program must cover them; others are optional Within this framework, states are afforded discretion in determining certain eligibility criteria for both mandatory and optional eligibility groups
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