Little Known Provision Keeps Kids From Slipping Through Cracks Due to Differences in Eligibility Rules

For the most part, the ACA tries to align the ways that Medicaid and the health insurance marketplaces determine eligibility for their respective programs. But every once in a while, there’s a risk that someone might fall through the cracks. This initially appeared to be the case when our colleague Tricia Brooks was asked to help with a complex family situation in which a child seemed to be caught between the differences between each program’s rules, putting him at risk of being uninsured. Fortunately, Tricia was able to unearth a little known but important rule that helps kids get the coverage they’re entitled to. Continue reading

Healthcare.gov Fixes System Glitch in Counting Social Security Income for Certain Tax Dependents

The Centers for Medicare and Medicaid Services (CMS) recently announced that they had fixed a technical glitch in healthcare.gov that may have cost people thousands of dollars in subsidies. Our colleague at Georgetown’s Center for Children and Families, Tricia Brooks, helped to identify the problem early on and offers this take on what CMS can do to help the people affected by the error. Continue reading

Getting MAGI Right: Current Monthly Income Vs. Projected Annual Income

Under the Affordable Care Act, new rules for counting household size and income for purposes of Medicaid and CHIP eligibility were aligned with the calculation of Marketplace subsidies. Following up on a primer she drafted on the basics of MAGI, our colleague at Georgetown’s Center for Children and Families, Tricia Brooks, drills down on income eligibility for Medicaid, CHIP, and premium tax credits. Continue reading