Payment & Practice Management  |   August 2015
Expand Your Medicaid Knowledge
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Obstetric Anesthesia / Pain Medicine / Practice Management / Advocacy and Legislative Issues / Payment & Practice Management
Payment & Practice Management   |   August 2015
Expand Your Medicaid Knowledge
ASA Monitor 08 2015, Vol.79, 58-60.
ASA Monitor 08 2015, Vol.79, 58-60.
The Affordable Care Act (ACA) has introduced many milestones in health care reform, including Medicaid expansion. What is Medicaid expansion? ACA offers states the funding to expand their individual Medicaid programs to cover adults under the age of 65 with incomes up to 133 percent of the federal poverty level. States that have expanded their Medicaid programs now offer free or low-cost health care plans to low-income individuals, regardless of other factors that are usually taken into account when deciding on Medicaid eligibility (e.g., disability, financial resources, family dynamic).
As of February 2015, 27 states and the District of Columbia have expanded their Medicaid programs. As we dive into a completely new health care structure (Medicaid expansion, Federal Marketplace, Sustainable Growth Rate [SGR] repeal), it is important that anesthesia practices understand the Medicaid policy and payment rates applicable to them. Medicaid payment and policies vary by state. It is not uncommon to see a Medicaid policy in one state be completely different than its neighboring states or other states in the region.
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