Phase 4: Wave 4: everyone · Step 4.3

Fold Medicaid and CHIP into UHP

Year 4 (dual eligibles and children earlier) · States; UHADiscuss this step

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Task 4.3.3 of 6

Transfer Medicaid provider enrollment and HCBS assessment data to UHA.

Who does it

States / UHA

When

Year 3–4

Trade-off

Transferring data preserves continuity but requires states to cooperate on migration.

Part of: Fold Medicaid and CHIP into UHP

Medicaid's acute-care and LTSS functions move to UHP. States begin paying the maintenance-of-effort amount ($345.7B a year) in place of their Medicaid share. Medicaid managed-care contracts end.

This step changes 5 existing laws, programs, or institutions. See the list.