September 1, 2015
By Virgil Dickson
Michigan has submitted a take-it-or-leave-it request to alter the terms of its Medicaid expansion, and coverage for about 600,000 residents is at stake.
Under the proposed waiver, residents above the federal poverty level who have been enrolled in Medicaid for 48 months would have to buy a private plan through HealthCare.gov or see their cost-sharing obligations rise to 7% of their income. Under the current structure of the program, beneficiaries with incomes between 100% and 138% of the federal poverty level pay 3% to 5% of their income for premiums and cost-sharing.
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Medicaid regulations dictate that cost-sharing must be “nominal” for the population, according to Joan Alker, executive director of the Georgetown Center for Children and Families.
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