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 4.3.4 of 6

Begin monthly MOE payments to the Trust Fund.

Who does it

States

When

Year 4

Trade-off

Monthly MOE payments are predictable but strain state cash flow in downturns.

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.