Changing Medicaid Retroactive Eligibility & Charitable Care Policy

Last week, I wrote about the states with approved work requirements and more generally, the effect of the non-traditional Medicaid expansion (see Managing The New Medicaid Work Requirements). While completing our research on this topic, our market intelligence team noticed another trend affecting eligibility and covered services—the increased approval of 1115 demonstration waivers that include a waiver of Medicaid retroactive eligibility.

Before, we dive too far into the trends, I want to provide a quick overview of retroactive eligibility. Under federal statute, all states are required to provide Medicaid retroactive eligibility. Retroactive eligibility pays for Medicaid-covered services . . .