The Medicaid Expansion Program has been providing access for more individuals to medical coverage in case of an illness or accident. Expansion to Medicaid was passed by the ND Legislature in 2014, and it granted access to uninsured residents to get the coverage. The expanded Medicaid program provides coverage to low-income earning individuals alongside pregnant women and those people who have disabilities. However, from 2018, the recipients between ages 19 and 21 years will not get funding through the expansion program but can still apply for the regular Medicaid.
Revenue Shortfall Reshapes the Structure of Medicaid Expansion Program
Unlike before, the federal government will not pay for the Medicaid expansion cost completely. According to the modifications suggested by the Republican healthcare bill, instead of 100% federal support, the enrolled candidates will be covered at 90% federal match rate. However, this provision is until 2019. The enrollees will be considered as new candidates if they discontinue the program for more than 30 days. However, from 2020, the new candidates will be covered at 50% federal-match, half of the conventional Medicaid. The presumptive eligibility granted by Obamacare has also been lifted. Even though North Dakota will continue to participate in the Medicaid Expansion program until 2019, the decision whether the State will continue with the program in the future will be determined by the 2019 Legislature.
Who Can Qualify for Medicaid Expansion Program
Individuals who have income up until 138% of the federal poverty threshold can apply for the expanded Medicaid services. An important thing to bear in mind is that people already receiving Medicaid or SSI (Supplemental Security Income) cannot apply for the expanded program. Because the expanded Program in North Dakota falls under the Affordable Care Act, low-income earning North Dakotans without any dependents also qualify for the expanded support.
If the per annum income of a households comprising of a single person is less than $16,643, the chances for qualifications will increase. For households with two individuals, the income threshold is $22,411 per annum. For households between three and eight members, the annual income must be equal to or below $27, 180, $33,948, $39,716, $45,485, $51,253, $57,022 respectively. If there are more family members, then $5768 ought to be added for each surplus individual to calculate the estimated annual-income level for qualification.
Applying for Medicaid in North Dakota
Applications for Medicaid services can be made online as well as through paper application process. The enrollment for the program can be done all-year-round. When you are applying for the program, you will need social security numbers, birth dates, W-2 forms, and tax statements. All those people who fail to qualify for Medicaid can look for private insurance options or acquire federal government health insurance by visiting www.healthcare.gov.
The Medicaid Expansion Program has been provided by Sanford Health Plan. The changes in the program are because of the fact that the expanded services cost more than estimated in North Dakota.