State Medicaid Director Letter Addresses ACA Maintenance of Effort ProvisionsImage Banner

State Medicaid Director Letter Addresses ACA Maintenance of Effort Provisions

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State Medicaid Director Letter Addresses ACA Maintenance of Effort Provisions

February 28, 2011

On February 25, the Centers for Medicare & Medicaid Services released a letter to State Medicaid Directors, providing guidance on the maintenance of effort (MOE) provisions in the Affordable Care Act of 2010.

This letter and the enclosed Q&As address the Affordable Care Act MOE provisions for Medicaid and the Children’s Health Insurance Program (CHIP) generally—and specifically answer questions related to the non-application of the MOE provisions for certain adult populations in states with a budget deficit, section 1115 waivers and demonstration projects, and the treatment of premiums.The press release can be found here and the letter can be foundas an attachment.