Eager to dig into details about state benchmark plan choices so far? This chart provides key details—with direct links to evidence of coverage documents and CCIIO’s plan summaries—about the plans states have selected or defaulted into. States had until December 26, 2012 to submit comments on the proposed EHB regulations to finalize their benchmark plan decision.
state of implementation
In 2014, health plans offered in the individual and group insurance markets will be required to cover a comprehensive set of benefits that fall into 10 categories – the essential health benefits (EHB) package. These EHBs include habilitative services and devices, a set of benefits not traditionally covered by private health insurance. Habilitative services, like rehabilitative services, generally include occupational and physical therapy, as well as speech-language services. read more
State benchmark plan decisions—the first step on the path to essential health benefits as part of the Affordable Care Act—are rolling in. So far, 20 states and the District of Columbia have at least made a preliminary benchmark plan decision, and 15 of these states and DC have chosen a small employer plan. read more
This webinar provided an opportunity to hear from a panel of states on the steps they have taken to establish and define essential health benefits. In addition, the panel discussed how these experiences inform their ongoing efforts to define a Medicaid benchmark plan.
This infographic highlights state progress toward essential health benefits benchmark plan selection.