Missouri: CMS Approves Expansion of Adult Medicaid Coverage for Dental Services

CMS approved a State Plan Amendment to extend dental coverage beyond emergency services to approximately 282,000 adult Medicaid enrollees—nearly 80% of the non-elderly Medicaid population. Governor Jay Nixon (D) announced in January that the collection of $35 million in unpaid taxes would fund the expansion of benefits for FY 2016; funding for FY 2017 was provided in the most recent State budget. The coverage will be effective retroactive to January 1, 2016, prior to which coverage was limited to treating traumas of the mouth, jaw, or teeth.

Missouri: Legislature Increases Asset Limits for Medicaid Enrollees

The Senate approved legislation to raise asset limits for Medicaid eligibility for seniors and people with disabilities, to $2,000 for individuals and $4,000 for families, by July 2017. The limit would then increase annually, to $5,000 for individuals and $10,000 for families by 2021. Missouri currently has the lowest asset limits in the nation—$1,000 for individuals and $2,000 for families—and is one of 10 states that hasdifferent eligibility criteria than the federal Social Security Income standard ($2,000 for individuals and $3,000 for families). The bill awaits Governor Jay Nixon's (D) approval, having been passed overwhelmingly by the House in late February.

Utah: Waiver Application for Limited Expansion Plan Defines Newly Eligible

The Department of Health (DoH) released a draft 1115 waiver application to expand Medicaid coverage to parents up to 55% of FPL and childless adults with no income who meet one of three eligibility criteria: (1) are chronically homeless; (2) are involved in the criminal justice system and in need of substance use or mental health treatment; or (3) are discharged from a state hospital or participate in Utah's General Assistance Program and need substance abuse/mental health treatment. The limited Medicaid expansion, approved by the Legislature in March, would enroll up to 16,000 low-income, uninsured Utahns beginning January 1, 2017 but would not be eligible for the enhanced federal match available for Medicaid expansion up to 138% of FPL. The DoH plans to submit the waiver for federal approval by July 1, and will host three public hearings and accept public comment through June 8.