The states that currently have CMS-approved premium assistance programs anticipate a small number of newly eligible beneficiaries will be considered medically frail through self-attestation. For example, the AR waiver request projected that of the 225,000 newly eligible individuals, 10% will be deemed medically frail. In IA, the state waiver request estimates that 15.8% of the 93,968 newly eligible will default to the traditional Medicaid plan due to medical frailty.

Author

MJS & Company



State

AR, IA

Line of Business or Market

Medicaid