Providers can prevent many health care-acquired conditions. Medicaid agencies can create an incentive for providers to increase their efforts to prevent these conditions by ceasing to pay for their treatment—ultimately reducing their occurrence.

*Milestone details:

*Full name: Establish Medicaid non-payment policies for health care-acquired conditions.

*Relevance to the ACA:

According to the ACA, states will no longer receive federal matching dollars for any payments made through the Medicaid program for medical expenses associated with certain health care-acquired conditions with the stipulation that the prohibition on payment for health care-acquired conditions shall not result in a loss of access to care or services for Medicaid beneficiaries (§2702 effective July 1, 2011).