Reform Alert - News from the Blues' Office of National Health Reform

Medicaid and CHIP updates

Updated: June 16, 2014 - Medicaid and CHIP enrollment data

Feb. 25, 2014

On Jan. 22, the Centers for Medicaid and Medicare Services (CMS) released a report on the number of December applications and eligibility determinations for the Medicaid & the Children’s Health Insurance Program (CHIP). The report noted that in December 2013:

  • 2.29 million people were deemed eligible for Medicaid and CHIP coverage by state agencies. This brings the total eligibility to 6.23 million people from Oct. 1 through Dec. 31.
  • Compared with pre-Affordable Care Act monthly averages, states expanding Medicaid are seeing a 73 percent increase in eligibility determinations, while non-expansion states are seeing a 3 percent increase.
  • In Michigan, 63,823 new applications were submitted for Medicaid/CHIP. Of those, 37,562 individuals were determined eligible for Medicaid and 3,693 for CHIP.
    • Applications are 9.8 percent below Michigan’s pre-ACA monthly average. Other states not expanding Medicaid, such as Alabama, Kansas and Texas, saw a similar drop.
    • As a reminder, Medicaid expansion has not yet been implemented in Michigan but is anticipated on or around April 1, 2014.

Also on Jan. 22, the Department of Health and Human Services (HHS) released the 2014 federal poverty guidelines. These guidelines are used in determining income eligibility for various Insurance Affordability Programs such as Medicaid, CHIP and Advance Payment of Premium Tax Credits on the Health Insurance Marketplace.

Starting Feb. 10, the Federally-Facilitated Marketplace (FFM) will use the 2014 FPLs for Medicaid and CHIP eligibility determinations. The FFM will continue to use the 2013 FPLs for Advance Payment of the Premium Tax Credit (APTC) and Cost-Sharing Reductions (CSR) eligibility determinations.


Household Size 2014 Poverty Guideline
1 $11,670
2 $15,730
3 $19,790
4 $23,850
5 $27,910
6 $31,970
7 $36,030
8 $40,090

For families/households with more than 8 persons, add $4,060 for each additional person.

Where can I find more information?

More information can be found in the Annual Update of the HHS Poverty Guidelines.

The information in this document is based on preliminary review of the national health care reform legislation and is not intended to impart legal advice. The federal government continues to issue guidance on how the provisions of national health reform should be interpreted and applied. The impact of these reforms on individual situations may vary. This overview is intended as an educational tool only and does not replace a more rigorous review of the law's applicability to individual circumstances and attendant legal counsel and should not be relied upon as legal or compliance advice. As required by US Treasury Regulations, we also inform you that any tax information contained in this communication is not intended to be used and cannot be used by any taxpayer to avoid penalties under the Internal Revenue Code.