Medicaid and CHIP Eligibility, Enrollment, Renewal, and Cost Sharing Policies as of January 2018: Findings from a 50-State Survey

Executive Summary

1. Rachel Garfield and Anthony Damino, The Coverage Gap: Uninsured Poor Adults in States that  Do Not Expand Medicaid, (Washington, DC: Kaiser Family Foundation, November 2017), https://www.kff.org/uninsured/issue-brief/the-coverage-gap-uninsured-poor-adults-in-states-that-do-not-expand-medicaid/

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Medicaid and CHIP Eligibility

1. Ibid.

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2. Utah also changed from using a dollar threshold to a threshold tied to the FPL for parent eligibility.

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3. These include seven states (California, District of Columbia, Illinois, Massachusetts, New York, Oregon, and Washington) that provide state-only coverage for income-eligible children, two states (New Jersey and New York) and the District of Columbia that provide state-only coverage for income-eligible pregnant women, and seven (California, Hawaii, Massachusetts, New Mexico, New York, Oregon, and Pennsylvania) and the District of Columbia provide state-only funded coverage for some income-eligible adults.

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Premiums and Cost Sharing

1. Under the MOE, states may not impose new premiums or increase premiums for children outside of inflation or routine increases approved before 2010.

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