Holding the Line on Medicaid and CHIP: Key Questions and Answers About Health Care Reform's Maintenance-of-Effort Requirements

March 26, 2010


Published by: Center for Children and Families and the Center on Budget and Policy Priorities


The Patient Protection and Affordable Care Act (PPACA) requires that states maintain their current eligibility standards for Medicaid and the CHIP. These maintenance-of-eligibility (MOE) requirements apply to adults until the major components of health reform go into effect on January 1, 2014, and to children until September 30, 2019. This set of question and answers reviews how the MOEs are structured in the PPACA.

Download Holding the Line on Medicaid and CHIP: Key Questions and Answers About Health Care Reform's Maintenance-of-Effort Requirements (PDF)