What was the greatest challenge in the negotiations with the Centers for Medicare and Medicaid Services (CMS)?
Perhaps the greatest challenge and most worthwhile exercise in our federal negotiations was in regard to childless adults. While funding is not available to cover all of the uninsured under 200 percent FPL, the legislation makes the program widely available and does not limit the program to specific categories such as parents of SCHIP-eligible children. Ultimately, we felt that only the federal Medicaid rules care whether a person is a parent or is a childless adult. If someone is low-income, uninsured, and willing to make the monthly contributions and play by the HIP rules, he or she should be allowed to participate — regardless of parental status. We should not value a parent over a childless adult. Medicaid laws, however, see this issue differently and budget neutrality rules thwarted our effort. In the end, coverage for childless adults was capped at 34,000 lives, leaving the remaining slots for parents of SCHIP-eligible children. However, CMS did give us permission to change eligi
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