The fate of Utah’s Medicaid expansion plan extending coverage to about 6,000 of the state’s neediest childless adults is now in the hands of the Trump administration.
Utah officials submitted the plan, which would cover childless adults who are chronically homeless or in need of mental health or drug addiction treatment, late Tuesday night. And they hope it gets approved in time to begin enrolling Jan. 1, 2018.
This is Utah’s second attempt to expand health coverage to this population after the Utah Legislature last year passed — and Gov. Gary Herbert signed — a small-scale plan. That proposal still awaits federal approval more than six months past when state officials had hoped to begin enrolling individuals, on Jan. 1, 2017.
So, state officials opted to modify their Medicaid proposal instead, adding work requirements and other limits that had previously been nonstarters under President Barack Obama’s administration.
State health department officials received more than 230 public comments on the details of their Medicaid expansion proposal.
The next step is for the Centers for Medicare and Medicaid Services (CMS) to hold its own public comment period on the proposal.
“We are hopeful that CMS will approve,” said Kolbi Young, spokeswoman for the state health department, “but we will not know until we receive their determination.”
Utah’s proposed Medicaid changes include:
State officials began enrolling between 3,000 and 5,000 low-income parents in a separate, already approved plan on July 1. About 2,500 of those parents are currently on the Primary Care Network plan and have already been identified for a shift to the more comprehensive Medicaid coverage.