By NextBestFitMedicaid (acute care)
absorbedYears 1–4Federal programs
Today
84.3M enrollees; state-run with federal match (FMAP); income eligibility varies by state (10 states have not expanded); ~75% in managed care; annual redeterminations.
Under the plan
Folded into UHP by age wave; acute-care eligibility rules, redeterminations, and managed-care contracts end. States pay a maintenance-of-effort amount instead of their share.
Trade-off
Enrollees go from the lowest-paying payer to the same rate as everyone; states lose program control.
Money
- Federal share of Medicaid$596.7B → $596.7B
- State Medicaid share → UHP maintenance-of-effort payment$345.7B → $345.7B