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[quote=Anonymous]Not going away but definitely crippled. It starts by doubling the burden on states for recertifying MA recipients by increasing frequency, adds an additional requirement for states to go through databases, including FEDERAL databases, to look for deceased providers or ones that have been banned. The work reporting requirements will add a substantial burden to recipients AND agencies (note that 64% already work and many of the others are either medically unable to work or are caregivers, so it will be a lot of extra work with little to show for it).

There are several mechanisms to disrupt coverage. Under both CHIPs (where a premium is paid) and Medicaid, if you lose coverage for some reason (like missing paperwork)and need to re-enroll, they will go back 3 months if income eligible, that's cut to one month. Post-partum eligibility goes from a year to I think 90 days, maybe even just 60 (as it was in the mid 90s).

There are programs --not sure what the budget source is, might be medicaid dollars--to assist low income Medicare recipients (who are over the medicaid limits) with part B premium payments, drug costs, etc. The limits for them are not huge--around $10,000 in assets (Medicaid has a $2000 limit for an individual, unchanged in at least 30 years) nor are income limits. These programs will be gone period.

There are issues with autopay Medicare Advantage payments paid by Medicaid when people move to a different state (and get coverage in the new state) or become deceased. So they will be coming down hard on residency reporting requirements--putting the burden on recipients and states instead of figuring out some other method for a problem that is in the system, not the people getting benefits.

A big part of it will be driving people away through burdensome paperwork, narrower eligibility. [/quote]

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