It’s the summer of 2019 and there’s a lot to talk about in the health care industry.
With the end of the year looming and the midterm elections in 2018 looming, 2018 is going to be an interesting year for a lot of things.
Here’s what we know right now, with some things we might know next.
As of January 12, 2018, the federal government is scheduled to run out of money.
With that, states can’t make any new Medicaid funding decisions for 2019.
The federal government will continue to cover most people with Medicaid, and states will continue making their own Medicaid eligibility decisions.
As part of the Affordable Care Act, states have until January 10 to make up their Medicaid eligibility.
Those states that have not yet made up their eligibility will receive a supplemental federal payment to cover their costs.
In 2019, states will also receive a $1 billion payment for each Medicaid enrollee in 2020.
That supplemental federal money will be used to pay for new coverage and to reimburse states for the cost of care.
States can opt to opt out of the Medicaid program entirely, meaning they will not receive the supplemental federal payments, but will still be required to make Medicaid payments for their own enrollees.
States that opt out will receive more than $2 billion in additional funding.
States will be able to use that money to make payments to hospitals and other providers for care that was covered by the Medicaid expansion.
States are allowed to spend up to $6 billion in the next two years for those services.
States won’t be able make any Medicaid payments during the transition to a new Medicaid program, however.
All Medicaid spending will end at the end (March 31, 2019), unless Congress acts to re-fund the program.
States must report their Medicaid spending and their costs to the federal Centers for Medicare and Medicaid Services, and the Department of Health and Human Services.
That report is due in February 2020.