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Within the ten states that have not opted for Medicaid expansion, the median income limit for eligibility in the traditional Medicaid program is 38 percent of the FPL. [a] The uninsured rate within the non-expansion states was 15.4 percent in March 2023 compared to 8.1 percent in expansion states. [2]
In the United States, Medicaid is a government program that provides health insurance for adults and children with limited income and resources. The program is partially funded and primarily managed by state governments, which also have wide latitude in determining eligibility and benefits, but the federal government sets baseline standards for state Medicaid programs and provides a ...
After tumultuous Medicaid unwinding, another insurance shakeup on way with loss of Superior HealthPlan in Central Texas. Here's what you should know. Central Texas Medicaid, CHIP recipients will ...
The Texas Health and Human Services Commission is standing by its decision not to award a large Medicaid contract to Cook Children’s Health Plan, a major provider of Medicaid health insurance to ...
2.6 million were in the "coverage gap" due to the 19 states that chose not to expand the Medicaid program under the ACA/Obamacare, meaning their income was above the Medicaid eligibility limit but below the threshold for subsidies on the ACA exchanges (~44% to 100% of the federal poverty level or FPL); 5.4 million were undocumented immigrants;
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The Medicaid "unwinding" that began after eligibility checks resumed this year led millions of people to lose coverage. Texas has the most disenrollments.
In participating states, Medicaid eligibility is expanded; all individuals with income up to 133% of the poverty line qualify for coverage, including adults without dependent children. [43] [50] The law also provides for a 5% "income disregard", making the effective income eligibility limit 138% of the poverty line. [51]