Basic Health Program Funding Methodology Proposed Notice

CMS has issued a proposed notice establishing the methodology for determining federal funding for the Basic Health Program in program year 2016. The Basic Health Program gives states the option to establish a health benefits coverage program for lower-income individuals as an alternative to Health Insurance Marketplace coverage under the ACA. This voluntary program enables states to create health benefits program for residents with incomes that are too high to qualify for Medicaid through Medicaid expansion in the ACA.

CMS proposes to use the same payment methodology for program year 2016 as it established for 2015, with updated values for several factors. The proposed notice will be posted in the Federal Register tomorrow.

Click here to see the proposed notice.