Seamless Transitions. Consistent with the provisions of the Affordable Care Act, the Transition Plan will include details on how the State plans to obtain and review any additional information needed from each individual to determine eligibility under all eligibility groups, and coordinate the transition of individuals enrolled in the Demonstration (by FPL) (or newly applying for Medicaid) to a coverage option available under the Affordable Care Act without interruption in coverage to the maximum extent possible. Specifically, the State must: i. Determine eligibility under all January 1, 2014, eligibility groups for which the State is required or has opted to provide medical assistance, including the group described in §1902(a)(10)(A)(i)(VIII) for individuals under age 65 and regardless of disability status with income at or below 133 percent of the FPL. ii. Identify Demonstration populations not eligible for coverage under the Affordable Care Act and explain what coverage options and benefits these individuals will have effective January 1, 2014. iii. Implement a process for considering, reviewing, and making preliminarily determinations under all January 1, 2014 eligibility groups for new applicants for Medicaid eligibility. iv. Conduct an analysis that identifies populations in the Demonstration that may not be eligible for or affected by the Affordable Care Act and the authorities the State identifies that may be necessary to continue coverage for these individuals. v. Develop a modified adjusted gross income (MAGI) conversion for program eligibility.
Appears in 9 contracts
Samples: Special Terms and Conditions, Special Terms and Conditions, Special Terms and Conditions
Seamless Transitions. Consistent with the provisions of the Affordable Care Act, the Transition Plan will include details on how the State state plans to obtain and review any additional information needed from each individual to determine eligibility under all eligibility groups, and coordinate the transition of individuals enrolled in the Demonstration demonstration (by FPL) (or newly applying for Medicaid) to a coverage option available under the Affordable Care Act without interruption in coverage to the maximum extent possible. Specifically, the State state must:
i. Determine eligibility under all January 1, 2014, eligibility groups for which the State state is required or has opted to provide medical assistance, including the group described in §1902(a)(10)(A)(i)(VIII) for individuals under age 65 and regardless of disability status with income at or below 133 percent of the FPL.
ii. Identify Demonstration demonstration populations not eligible for coverage under the Affordable Care Act and explain what coverage options and benefits these individuals will have effective January 1, 2014.
iii. Implement a process for considering, reviewing, and making preliminarily determinations under all January 1, 2014 eligibility groups for new applicants for Medicaid eligibility.
iv. Conduct an analysis that identifies populations in the Demonstration demonstration that may not be eligible for or affected by the Affordable Care Act and the authorities the State state identifies that may be necessary to continue coverage for these individuals.
v. Develop a modified adjusted gross income (MAGI) MAGI conversion for program eligibility.
Appears in 6 contracts
Samples: Medicaid Demonstration Agreement, Medicaid Demonstration Agreement, Medicaid Demonstration Agreement
Seamless Transitions. Consistent with the provisions of the Affordable Care Act, the Transition Plan will include details on how the State plans to obtain and review any additional information needed from each individual to determine eligibility under all eligibility groups, and coordinate the transition of individuals enrolled in the Demonstration (by FPL) (or newly applying for Medicaid) to a coverage option available under the Affordable Care Act without interruption in coverage to the maximum extent possible. Specifically, the State must:
i. Determine eligibility under all January 1, 2014, eligibility groups for which the State is required or has opted to provide medical assistance, including the group described in §1902(a)(10)(A)(i)(VIII) for individuals under age 65 and regardless of disability status with income at or below 133 percent of the FPL.
ii. Identify Demonstration populations not eligible for coverage under the Affordable Care Act and explain what coverage options and benefits these individuals will have effective January 1, 2014.
iii. Implement a process for considering, reviewing, and making preliminarily determinations under all January 1, 2014 eligibility groups for new applicants for Medicaid eligibility.
iv. Conduct an analysis that identifies populations in the Demonstration that may not be eligible for or affected by the Affordable Care Act and the authorities the State identifies that may be necessary to continue coverage for these individuals.
v. Develop a modified adjusted gross income (MAGI) conversion calculation for program eligibility.
Appears in 4 contracts
Samples: Special Terms and Conditions, Special Terms and Conditions, Special Terms and Conditions
Seamless Transitions. Consistent with the provisions of the Affordable Care Act, the Transition Plan will include details on how the State state plans to obtain and review any additional information needed from each individual to determine eligibility under all eligibility groups, and coordinate the transition of individuals enrolled in the Demonstration (by FPL) (or newly applying for Medicaid) to a coverage option available under the Affordable Care Act Act, without interruption in coverage to the maximum extent possible. Specifically, the State state must:
i. Determine eligibility under all January 1, 2014, eligibility groups for which the State state is required or has opted to provide medical assistance, including the group described in §section 1902(a)(10)(A)(i)(VIII) for individuals under age 65 and regardless of disability status with income at or below 133 percent of the FPL.;
ii. Identify Demonstration populations not eligible for coverage under the Affordable Care Act and explain what coverage options and benefits these individuals will have effective January 1, 2014.;
iii. Implement a process for considering, reviewing, and making preliminarily determinations under all January 1, 2014 2014, eligibility groups for new applicants for Medicaid eligibility.;
iv. Conduct an analysis that identifies populations in the Demonstration demonstration that may not be eligible for or affected by the Affordable Care Act and the authorities the State state identifies that may be necessary to continue coverage for these individuals.; and
v. Develop a modified adjusted gross income (MAGI) conversion calculation for program eligibility.
Appears in 2 contracts
Samples: Special Terms and Conditions, Special Terms and Conditions
Seamless Transitions. Consistent with the provisions of the Affordable Care Act, the Transition Plan will include details on how the State state plans to obtain and review any additional information needed from each individual to determine eligibility under all eligibility groups, and coordinate the transition of individuals enrolled in the Demonstration (by FPL) (or newly applying for Medicaid) to a coverage option available under the Affordable Care Act Act, without interruption in coverage to the maximum extent possible. Specifically, the State state must:
i. Determine eligibility under all January 1, 2014, eligibility groups for which the State state is required or has opted to provide medical assistance, including the group described in §1902(a)(10)(A)(i)(VIIIsection1902(a)(10)(A)(i)(VIII) for individuals under age 65 and regardless of disability status with income at or below 133 percent of the FPL.;
ii. Identify Demonstration populations not eligible for coverage under the Affordable Care Act and explain what coverage options and benefits these individuals will have effective January 1, 2014.;
iii. Implement a process for considering, reviewing, and making preliminarily determinations under all January 1, 2014 2014, eligibility groups for new applicants for Medicaid eligibility.;
iv. Conduct an analysis that identifies populations in the Demonstration that may not be eligible for or affected by the Affordable Care Act and the authorities the State state identifies that may be necessary to continue coverage for these individuals.; and
v. Develop a modified adjusted gross income (MAGI) conversion calculation for program eligibility.
Appears in 1 contract
Samples: Special Terms and Conditions