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Preserving the Healthy Michigan Plan

Preserving the Healthy Michigan Plan. Scott Janssen, M.A. The Issue. Part A As many as 600,000 Michigan residents may lose healthcare coverage by December 31, 2015 Part B More precise data is needed to measure the Healthy Michigan Plan’s impact. The Ask. Part A

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Preserving the Healthy Michigan Plan

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  1. Preserving the Healthy Michigan Plan Scott Janssen, M.A.

  2. The Issue • Part A • As many as 600,000 Michigan residents may lose healthcare coverage by December 31, 2015 • Part B • More precise data is needed to measure the Healthy Michigan Plan’s impact

  3. The Ask • Part A • Inform the public what’s at stake • Part B • Request MDHHS begin reporting Healthy Michigan Plan enrollment by zip code

  4. Background • States have option to expand Medicaid • Qualifications • Between ages 19 to 64 • Income at or below 133% of the Federal Poverty Level • Family of 1: $15,654 • Family of 4: $32,737

  5. Timeline • August 2013 • Michigan’s Senate voted in favor of expanding Medicaid by a vote of 20-18 • April 1, 2014 • Michigan’s expanded Medicaid program, the Healthy Michigan Plan, began • Anticipated enrollment: Between 300,000 – 500,000 • Actual Enrollment: 600,000 in one year

  6. First Waiver Amendment • History • Michigan agreed to expand Medicaid but requested two waiver amendments from the Centers for Medicare & Medicaid Services (CMS) • First Waiver Amendment • Michigan requested cost-sharing from Medicaid beneficiaries • Cost-sharing ranges from 3% - 5% of annual income • Approved by CMS in December of 2013

  7. Second Waiver Amendment • Second Waiver’s Request • After 48 cumulative months, Healthy Michigan Plan beneficiaries must either: • Opt out of the Healthy Michigan Plan and purchase insurance on the Federal Marketplace or • Increase cost-sharing to 7% annually

  8. Second Waiver’s Complications • Challenges Associated with Second Waiver Request • CMS caps cost-sharing at 5% • Michigan will submit the Second Waiver Amendment to CMS by September 1, 2015 • If the Second Waiver Amendment is not approved by December 31, 2015, by state law the Healthy Michigan Plan will end

  9. The Ask • Part A • A public awareness campaign explaining what is at stake • Cost: Minimal to nothing • Timeframe: Four months • Part B • Request MDHHS begin reporting Healthy Michigan Plan data by zip code • Cost: Minimal to nothing • Timeframe: Minimal

  10. Scott Janssen 269.373.5368 spjans@kalcounty.com

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