Milestone: Decide whether to offer a state basic health program to people not eligible for Medicaid with household income of 133% - 200% FPL
States may choose to establish a basic health program to provide coverage to low-income individuals. This option allows states to design benefits specifically for this population, different from those offered in either Medicaid or the Exchange.
*Milestone details:
*Full name: Decide whether or not to offer a state basic health program to offer coverage to people not eligible for Medicaid with household income of 133% - 200% FPL.
*Relevance to the ACA:
The ACA allows states to contract with health plans to provide coverage to individuals with household incomes that exceed 133% but not 200% of the FPL. If a state chooses this option, individuals eligible for the basic health program may not obtain coverage through the Exchange. A state basic health program must include at least the essential health benefits. For states that elect this option, the federal government will provide funds equal to 85% of the premium tax credits that enrolled individuals would have received had they had enrolled in plans through an Exchange. (§1331)
less
comment, ask a question or post a document
Login or Register to participate in this discussion or post a document
District of Columbia
In January 2012, Maryland released an analysis of the issues related to implementing the ACA's basic health option in the state. Key issues discussed in the report include affordability, churning, administrative capacity, and the potential effects of the BHP on operation of the state's exchange. Also attached is a presentation of the report by Chuck Milligan, Deputy Secretary of Health Care Financing.