CMS Approves Medicaid Expansion in Pennsylvania

On August 28, 2014, The Centers for Medicare & Medicaid Services released a press statement Thursday announcing that CMS and Pennsylvania officials. have agreed on Healthy PA Medicaid Expansion Plan.

Healthy PA is a Pennsylvania-specific solution to Washington’s proposed one-size-fits-all health care plan. It will improve and reform the state’s Medicaid program and increase access to quality, affordable health care.

With the implementation of Healthy PA, Pennsylvania will be making important sustainable reforms to its Medicaid program, including cost-sharing requirements, matching benefits to actual health care needs and placing limitations on certain benefits. The agreement will also permit Pennsylvania to provide access to health care coverage through a private coverage option to uninsured adults between the ages of 21 to 64 who are below 133% of the Federal Poverty Level (FPL).

Enrollment for the Healthy PA Private Coverage Option (PCO) begins December 1, 2014.

 

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