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 4.3.6 of 6

Decommission state Medicaid eligibility systems; MMIS systems retained 7 years for audits.

Who does it

States

When

Years 4–5

Trade-off

Keeping MMIS systems for audits is prudent but costs money for systems no longer in use.

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.