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In many of the states that chose to reject the expansion, only those making significantly below the FPL qualify for Medicaid; this has led to a "gap" in coverage for residents of those states with incomes that are too low to qualify for private insurance subsidies and too high to qualify for the non-expanded Medicaid. As of March 2023, 40 ...
As of March 2023, 40 states have accepted the Affordable Care Act Medicaid extension, as has the District of Columbia, which has its own Medicaid program; 10 states have not. [28] Among adults aged 18 to 64, states that expanded Medicaid had an uninsured rate of 7.3% in the first quarter of 2016, while non-expansion states had a 14.1% uninsured ...
2.6 million were in the "coverage gap" due to the 19 states that chose not to expand the Medicaid program under the ACA/Obamacare, meaning their income was above the Medicaid eligibility limit but below the threshold for subsidies on the ACA exchanges (~44% to 100% of the federal poverty level or FPL); 5.4 million were undocumented immigrants;
Most states — 38 and Washington, D.C. — have the same income limit of $2,523 per month for a single person for most types of Medicaid services. For a married couple, the limit increases to ...
The standard monthly premium amount for Part B in 2023 is $164.90 and applies to those with a MAGI of up to $97,000 as an individual, and up to $194,000 as a married couple filing taxes jointly ...
Rules vary by state, but most limit individuals to no more than $2,000 in countable assets. For married couples, the at-home spouse who will not receive nursing care often can keep up to $148,620 ...
The guidelines for calculating the FMAP are outlined in the Social Security Act and they exclusively determine the ratio of matching funds for each state's Medicaid program. Section 2105(b)of the Act stipulate that "Enhanced Federal Medical Assistance Percentages," or Enhanced FMAPs, will be calculated at the same time as the FMAPs.
In 2023, the monthly median ... Non-profit KFF estimates that in 2020, 4.2 million people used Medicaid long-term services and supports (LTSS) delivered in home and community settings and 1.6 ...