By NextBestFitPhase 4: Wave 4: everyone · Step 4.3
Fold Medicaid and CHIP into UHP
Year 4 (dual eligibles and children earlier) · States; UHADiscuss this step
Parallel systems $12.0B and state wind-down grants $4.0B, in the transition table.
| Cost item | Type | 2024 / before | Amount |
|---|---|---|---|
| Federal share of Medicaid 3 calculation steps | Funding source | $596.7B | $596.7B |
| Running legacy Medicaid, Marketplace & Medicare systems in parallel 4 calculation steps | One-time | — | $12.0B |
| State Medicaid agency wind-down 4 calculation steps | One-time | — | $4.0B |
| Jobs: State Medicaid eligibility & managed-care oversight staff 5 calculation steps | Jobs | — | −$1.6B |
| Jobs: Marketplace call centers, navigators & enrollment assisters 5 calculation steps | Jobs | — | −$0.6B |