2017 Affordable Care Act Medicaid Expansion by State

Expansion of Medicaid in 2017

What is Medicaid and How do I qualify?

Medicaid is currently the largest provider of health insurance to low income individuals (including senior citizens, people with disabilities and some children) in the United States. Though Medicaid is a partnership between federal and state governments, each state has their own Medicaid eligibility standards based on a percentage of federal poverty levels.

General requirements for Medicaid eligibility include the following:

  • Citizenship Status: You must be a US citizen or an eligible qualified alien.
  • Residency: In order to apply for Medicaid in your state you must be a resident of the state. If you are planning to move you may be able to apply for Medicaid prior to your move. For example to qualify for Medicaid in Wyoming you must live in the state or plan to live in the state within 45 days of applying for Medicaid. States cannot place length of stay residency requirements.
  • Age: You must meet any age requirements of the specific Medicaid program in which you are enrolled.
  • Social Security:Most Medicaid programs require you to provide a social security number or verification that you have applied for a social security number.

Medicaid Expansion by State

Under The Affordable Care Act, many states are expanding Medicaid in order to allow more people to qualify for Medicaid (starting in 2014). However, not all states have chosen to expand their eligibility standards. States that do expand its Medicaid eligibility standards will receive increased federal funding for Medicaid. From 2014-2016 the federal government will cover 100% of Medicaid expansion costs, phasing down to 90% by 2020. It is important to note that there is a 5% disregard for Medicaid eligibility. Thus if a state expands its Medicaid eligibility to 133% of the federal poverty level, then individuals and families that earn up to 138% can still qualify for Medicaid.

Currently 32 states (including D.C.) are expanding Medicaid, affecting over 68 million low-income citizens across the country. 19 states have not yet expanded Medicaid. Without expanding Medicaid, residents that would otherwise be newly eligible are likely to remain uninsured. Find your state below to see if your state plans to expand Medicaid eligibility and to see approximately how many residents in your state may gain access to health care coverage due to Medicaid expansion:

Alabama

Alabama has elected to not expand its Medicaid program. If Alabama were to expand Medicaid, an estimated 254,000 residents could qualify for Medicaid.

Alaska

The state’s Medicaid expansion went into effect on Sep. 1, 2015. Alaska households with incomes up to 133% of the federal poverty level will be eligible for Medicaid (138% including the 5% disregard). Approximately 14,400 residents of Alaska may now qualify for Medicaid.

Arizona

Arizona’s Medicaid program was signed on June 17, 2013. Arizona households with incomes up to 133% of the federal poverty level will be eligible for Medicaid (138% including the 5% disregard). Approximately 418,400 residents of Arizona may now qualify for Medicaid.

Arkansas

Arkansas’s Medicaid Expansion plan was signed into law on April 23, 2013. Arkansas households with incomes up to 133% of the federal poverty level will be eligible for Medicaid (138% including the 5% disregard). An estimated 303,900 residents of Arkansas may qualify for Medicaid.

California

California’s Medicaid Expansion plan was signed into law on June 27, 2013. California households with incomes up to 133% of the federal poverty level will be eligible for Medicaid (138% including the 5% disregard). Approximately 3,541,700 residents of California may now qualify for Medicaid, the highest number of residents for any state.

Colorado

Colorado’s Medicaid Expansion plan was signed into law on May 13, 2013. Colorado households with incomes up to 133% of the federal poverty level will be eligible for Medicaid (138% including the 5% disregard). About 425,500 residents of Colorado may qualify for Medicaid.

Connecticut

Connecticut is one of first five states that opted to sign up for the Medicaid expansion after the ACA was enacted. Connecticut households with incomes up to 133% of the federal poverty level will be eligible for Medicaid (138% including the 5% disregard). An estimated 207,600 residents of Connecticut may qualify for Medicaid.

Delaware

Starting in 2014, Delaware households with incomes up to 133% of the federal poverty level will be eligible for Medicaid (138% including the 5% disregard). Approximately 67,900 residents of Delaware may qualify for Medicaid.

District of Columbia

Starting in 2014, D.C. households with incomes up to 133% of the federal poverty level will be eligible for Medicaid (138% including the 5% disregard). About 62,600 residents of D.C. may now qualify for Medicaid.

Florida

Florida has elected to not expand its Medicaid program. If Florida were to expand Medicaid, an estimated 1,253,000 residents could qualify for Medicaid, the third highest number of residents for any state after California and Texas.

Georgia

Georgia has elected to not expand its Medicaid program. If Georgia were to expand Medicaid, an estimated 682,000 residents could qualify for Medicaid.

Hawaii

Starting in 2014, Hawaii households with incomes up to 133% of the federal poverty level will be eligible for Medicaid (138% including the 5% disregard). Approximately 110,000 residents of Hawaii may qualify for Medicaid.

Idaho

Idaho has elected to not expand its Medicaid program. If Idaho were to expand its Medicaid eligibility standards, an estimated 90,000 residents could qualify for Medicaid.

Illinois

Starting in 2014, Illinois households with incomes up to 133% of the federal poverty level will be eligible for Medicaid (138% including the 5% disregard). An estimated 681,000 residents may now qualify for Medicaid.

Indiana

On January 27, 2015, the federal government approved Indiana’s alternate Medicaid expansion plan, known as Healthy Indiana Plan (HIP)2.0. Indiana households with incomes up to 133% of the federal poverty level will be eligible for Medicaid (138% including the 5% disregard). Approximately 381,600 residents of Hawaii may qualify for Medicaid.

Iowa

Starting in 2014, Iowa households with incomes up to 133% of the federal poverty level will be eligible for Medicaid (138% including the 5% disregard). Approximately 149,300 Iowans may qualify for Medicaid.

Kansas

Kansas has elected to not expand its Medicaid program. An estimated 126,000 residents could qualify for Medicaid if Kansas were to expand its Medicaid eligibility standards.

Kentucky

Starting in 2014, Kentucky households with incomes up to 133% of the federal poverty level will be eligible for Medicaid (138% including the 5% disregard). About 443,300 residents of Kentucky may now qualify for Medicaid.

Louisiana

Louisiana was the 31st state to expand Medicaid. Starting in June, 2016, Kentucky households with incomes up to 133% of the federal poverty level will be eligible for Medicaid (138% including the 5% disregard). And in February 2017, the Louisiana Department of Health announced that more than 400,000 individuals had enrolled in coverage under the state’s Medicaid expansion, and the uninsured rate in Louisiana has decreased by nearly half to 12.5 percent in 2016, down from 21.7 percent in 2013.

Maine

Maine has elected to not expand its Medicaid program. If Maine were to expand its Medicaid eligibility standards an estimated 38,000 residents could qualify for Medicaid.

Maryland

Starting in 2014, Maryland households with incomes up to 133% of the federal poverty level will be eligible for Medicaid (138% including the 5% disregard). Approximately 248,200 Maryland residents may now qualify for Medicaid.

Massachusetts

Starting in 2014, Massachusetts households with incomes up to 133% of the federal poverty level will be eligible for Medicaid (138% including the 5% disregard). Approximately 3398,300 Massachusetts residents may now qualify for Medicaid.

Michigan

Starting in April 2014, Michigan households with incomes up to 133% of the federal poverty level will be eligible for Medicaid (138% including the 5% disregard). About 637,200 residents of Michigan may now qualify for Medicaid.

Minnesota

Starting in 2014, Minnesota households with incomes up to 133% of the federal poverty level will be eligible for Medicaid (138% including the 5% disregard). Approximately 222,900 Minnesota sidents may now qualify for Medicaid.

Mississippi

Mississippi has elected to not expand its Medicaid program. If the state were to expand Medicaid, an estimated 200,000 residents could qualify for the program.

Missouri

Missouri has elected to not expand its Medicaid program. If Missouri were to expand its Medicaid eligibility standards approximately 293,000 residents could qualify for Medicaid.

Montana

Starting in 2016, Montana households with incomes up to 133% of the federal poverty level will be eligible for Medicaid (138% including the 5% disregard). Approximately 46,700 Montana residents may now qualify for Medicaid.

Nebraska

Nebraska has elected to not expand its Medicaid program. If the state were to expand its Medicaid eligibility standards an estimated 72,000 residents may be able to qualify for Medicaid.

Nevada

Starting in 2014, Nevada households with incomes up to 133% of the federal poverty level will be eligible for Medicaid (138% including the 5% disregard). 203,900 residents of Nevada may now be able to qualify for Medicaid.

New Hampshire

New Hampshire Medicaid Expansion program was available as of July 1, 2014, for coverage effective on August 15, 2014. New Hampshire households with incomes up to 133% of the federal poverty level will be eligible for Medicaid (138% including the 5% disregard). An estimated 52,900 residents of New Hampshire may now qualify for Medicaid.

New Jersey

Starting in 2014, New Jersey households with incomes up to 133% of the federal poverty level will be eligible for Medicaid (138% including the 5% disregard). About 552,400 additional residents of New Jersey may now qualify for Medicaid.

New Mexico

Starting in 2014, New Mexico households with incomes up to 133% of the federal poverty level will be eligible for Medicaid (138% including the 5% disregard). An estimated 243,100 residents of New Mexico may now qualify for Medicaid.

New York

Starting in 2014, New York households with incomes up to 133% of the federal poverty level will be eligible for Medicaid (138% including the 5% disregard). An estimated 2,161,100 residents of New York may now be eligible for Medicaid.

North Carolina

North Carolina has elected to not expand its Medicaid program. If the state were to expand Medicaid eligibility standards, approximately 593,000 residents could qualify for the program.

North Dakota

Starting in 2014, North Dakota households with incomes up to 133% of the federal poverty level will be eligible for Medicaid (138% including the 5% disregard).

Ohio

Starting in 2014, Ohio households with incomes up to 133% of the federal poverty level will be eligible for Medicaid (138% including the 5% disregard). An estimated 682,900 residents of Ohio may now be eligible for Medicaid.

Oklahoma

Oklahoma has elected to not expand its Medicaid program. If the state were to expand its Medicaid eligibility standards, approximately 246,000 residents could qualify for the program.

Oregon

Starting 2014, Oregon households with incomes up to 133% of the federal poverty level will be eligible for Medicaid (138% including the 5% disregard). 550,600 residents of Oregon may now qualify for Medicaid.

Pennsylvania

Pennsylvania’s Medicaid Expansion program was available as of December 1, 2014, for coverage effective on January 1, 2015. Pennsylvania households with incomes up to 133% of the federal poverty level will be eligible for Medicaid (138% including the 5% disregard). 702,800 residents of Pennsylvania may now qualify for Medicaid.

Rhode Island

Starting in 2014, Rhode Island households with incomes up to 133% of the federal poverty level will be eligible for Medicaid (138% including the 5% disregard). An estimated 60,500 additional residents of the state may now qualify for Medicaid.

South Carolina

South Carolina has elected to not expand its Medicaid program. If the state were to expand its Medicaid eligibility standards, approximately 292,000 residents of South Carolina could qualify for Medicaid.

South Dakota

South Dakota has elected to not expand its Medicaid program. If South Dakota were to expand Medicaid, an estimated 34,000 residents could be eligible for the program.

Tennessee

Tennessee has elected to not expand its Medicaid program. Approximately 352,000 residents of Tennessee could qualify for Medicaid if the state were to expand its Medicaid eligibility standards.

Texas

Texas has elected to not expand its Medicaid program. However, if the state were to expand its Medicaid eligibility standards, approximately 1,186,000 residents could gain access to Medicaid. This figure is second highest out of any state.

Utah

Utah has elected to not expand its Medicaid program. If Utah were to expand its Medicaid eligibility standards about 116,000 residents could gain access to Medicaid.

Vermont

Starting in 2014, Vermont households with incomes up to 133% of the federal poverty level will be eligible for Medicaid (138% including the 5% disregard). An estimated 63,300 residents of the state may now qualify for Medicaid.

Virginia

Virginia has elected to not expand its Medicaid program. If Virginia were to expand its Medicaid eligibility standards about 235,000 residents could gain access to Medicaid.

Washington

Starting in 2014, Washington households with incomes up to 133% of the federal poverty level will be eligible for Medicaid (138% including the 5% disregard). About 594,900 residents of the state may now be able to qualify for Medicaid.

West Virginia

Starting in 2014, West Virginia households with incomes up to 133% of the federal poverty level will be eligible for Medicaid (138% including the 5% disregard). Approximately 180,500 West Virginians may now qualify for Medicaid.

Wisconsin

Wisconsin has elected to not expand its Medicaid program. If Wisconsin were to expand its Medicaid eligibility standards, an estimated 167,000 residents may be able to get access to Medicaid.

Wyoming

Wyoming has elected to not expand its Medicaid program. If the state were to expand its Medicaid eligibility standards, approximately 19,000 residents could qualify for the program.

Sources:

A 50-State Look at Medicaid Expansion: 2017 (April, 2017)

http://familiesusa.org/product/50-state-look-medicaid-expansion

Medicaid Expansion enrollment increase to 400,635; uninsured rate drops:(February 16, 2017)

http://www.dhh.louisiana.gov/index.cfm/newsroom/detail/4169



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