We just saw this in the SAMHSA Financing Newsletter (pdf) and definitely thinks it wins our CMHNetwork Sign of the Apocalypse for this week.
- Maine seeks approval to eliminate Medicaid coverage for 19- and 20-year olds. The Maine Department of Health and Human Services (MDHHS) has submitted an amendment to its Medicaid State Health Plan to increase certain eligibility requirements and end coverage for 19- and 20-year olds. Maine contends that the Supreme Court’s ACA ruling allows such moves and the MDHHS plans to file a lawsuit if HHS does not approve the amendment by September 1. However, last month, Secretary Sebelius wrote a letter to state governors stating that the Supreme Court’s ruling did not affect the “maintenance of effort” (MOE) requirements, which prohibit states from changing eligibility requirements for adults until January 1, 2014 and for children until October 1, 2019. According to HHS, the only exception to the MOE requirements is that states may reduce coverage for non-pregnant, non-disabled adults with incomes greater than 133 percent of the federal poverty level if they are facing a budget deficit in the current or succeeding year.
In the words of Paul Simon - "You know the nearer your destination, the more you slip sliding away."
- Download the latest issue of SAMHSA Financing Focus here. Always a good read.