Virginia is expanding Medicaid. Here’s what is means for Hampton Roads.
Here's what it means for
When does it start and how many people will it include?
The expansion goes into effect
Who will be newly eligible?
People between the ages of 19 and 64 who earn less than 138 percent of the federal poverty level. That figure is adjusted annually, but in 2018 it was
When can I sign up?
Once he does, DMAS will submit state plan amendments to the
Once plans are approved, there will be information available at this state website: www.coverva.org.
Will people be able to keep their current doctors?
Participants will be asked to choose a health insurance company that will coordinate care and reimburse health care providers for services. The plans for this area will be listed on the www.coverva.org website.
What about work requirements?
President
What will be the impact on local hospitals?
The greatest impact will be on hospitals that serve adult patients. The impact on
Hospitals expect Medicaid expansion to reduce the amount of uncompensated care provided to the uninsured in those situations.
What are provider assessment fees?
The Medicaid expansion includes a "provider assessment" on private acute care hospitals to cover the state's share of expansion. Federal dollars will fund about 90 percent of the expansion under the Affordable Care Act. Provider assessment fees will fund the state share, and also increase rates of Medicaid reimbursement.
Medicaid currently reimburses hospitals for about 71 percent of care, and the provider assessment fees are expected to increase that to 88 percent, according to
Private acute care hospitals will pay the provider assessments. CHKD does not have to pay it because the expansion funds Medicaid insurance for adults rather than children.
What type of impact will the expansion have on free clinics?
The free clinics in this region each have different structures, so the effects will differ according to the clinic's eligibility requirements.
But Hellstrom said the work requirement waiver will also have an impact on whether people will be able to maintain Medicaid coverage. Those unable to meet the work requirements, she said, would likely tend to be sicker, with more complex health problems.
What types of care are covered under Medicaid?
Doctor, hospital and emergency services, including primary and specialty care; prescription drugs; laboratory and X-ray services; maternity and newborn care; home health services; behavioral health services, including addiction and recovery treatment; rehabilitative services; family planning; transportation to appointments when not otherwise available; medical equipment and supplies; and preventive care, including annual wellness exams, immunizations, smoking cessation and nutritional counseling.
What about people who still make too much to qualify for Medicaid and who don't have employer insurance?
The Affordable Care Act individual insurance exchange is one option. Insurance companies had to inform the
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