Both the National Governors Association and National Association of Medicaid Directors are calling on HHS to clarify exactly how the Supreme Court's ruling on the Patient Protection and Affordable Care Act affects states' Medicaid options, according to an AHA News Now report.
States want to know the consequences of the Court's decision to strike down a provision in the law that allowed Congress to take away all Medicaid funds from states that refused Medicaid expansion. The governors associations is seeking guidance from HHS, asking how the agency will "assist governors as they deliberate the next step," in a letter to CMS.
Meanwhile, Medicaid directors have asked CMS a series of questions in a separate letter. NAMD wants CMS to clarify if states are subject to Medicaid maintenance of effort requirements prior to 2014. It also wants to know whether HHS will keep the same funding-reduction schedule for Disproportionate Share Hospitals in states that do not expand Medicaid.
"In developing the DSH reduction methodology, will CMS consider whether a state takes up — in its entirety or partially — the eligibility expansion to the optional adult group?" NAMD writes in its letter.
A majority of DSH funding is reduced under the federal healthcare law, with the intent that all states would expand Medicaid and help those hospitals.
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States want to know the consequences of the Court's decision to strike down a provision in the law that allowed Congress to take away all Medicaid funds from states that refused Medicaid expansion. The governors associations is seeking guidance from HHS, asking how the agency will "assist governors as they deliberate the next step," in a letter to CMS.
Meanwhile, Medicaid directors have asked CMS a series of questions in a separate letter. NAMD wants CMS to clarify if states are subject to Medicaid maintenance of effort requirements prior to 2014. It also wants to know whether HHS will keep the same funding-reduction schedule for Disproportionate Share Hospitals in states that do not expand Medicaid.
"In developing the DSH reduction methodology, will CMS consider whether a state takes up — in its entirety or partially — the eligibility expansion to the optional adult group?" NAMD writes in its letter.
A majority of DSH funding is reduced under the federal healthcare law, with the intent that all states would expand Medicaid and help those hospitals.
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