Effective January 1, 2014, Medicaid will be expanded to include individuals between the ages of 19 up to 65 (parents, and adults without dependent children) with incomes up to 138% FPL based on modified adjusted gross income. To get a very broad overview of Medicaid Expansion 2014 under the Affordable Care Act, watch the video to the right.

How does the Affordable Care Act affect eligibility for Medicaid?

• Creates a new Medicaid group - Newly Eligible Individuals age 19 up to 65 who:
  • Have income below 138% FPL
  • Meet citizenship requirements
  • Are not incarcerated
  • Are not entitled to Medicare
• Changes to income and deductions for existing Medicaid groups:
  • Children
  • Pregnant Women
  • Families (Parents/Caretaker Relatives)
• Modified Adjusted Gross Income (MAGI) methodology used for income calculation is the IRS
  • Countable income
  • Income deductions
• Additional methods for determining income and deductions
  • Household composition - mirrors federal income tax filing rules
  • No asset/resource limits
  • 12 month certification periods
• Simplified application and renewal process for:
  • Medicaid
  • Children's Health Insurance Program (CHIP)
  • Health Benefit Exchange
• The following groups will not have any changes in eligibility for Medicaid:
  • Aged, Blind or Disabled individuals
  • Foster Care children
  • SSI cash recipients

​Resources

Check out the Medicaid Expansion 2014 sidebar navigation located on the upper left to get to the additional project web content.

• Medicaid Expansion 2014 Fact Sheet
• Medicaid Expansion 2014 Project Overview Presentation
• Medicaid Expansion 2014 Changes Comparison Fact Sheet
• Medicaid Expansion 2014 Overview for Stakeholders Webinar