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Developing Viable Communities through Housing, Services, & Economic Opportunities

Affordable Care Act Website of the Week: February 10-14, 2014

The National Association of States United for Aging and Disabilities (NASUAD) is a national non-profit, non-partisan organization that represents state agencies responsible for elders and people with disabilities. NASUAD tracks national policy and financing developments relevant to community living and provides information on best practices that foster home and community based services for these constituencies.

The NASUAD website includes up-to-date information on two topics of direct interest to housing and service providers working to prevent and end homelessness and institutionalization for people with disabilities. These are:

  1. The State Medicaid Expansion Tracker provides current information on the decisions being made by each state with regard to Medicaid coverage expansion. In states where a decision has not yet been made, the Tracker indicates the relative likelihood that the state will agree to expand, and provides a brief summary of the status of the state-level decision-making process. The status of Medicaid coverage expansion decisions in each state is critical information for housing and service providers assisting their constituents to obtain affordable health care coverage benefits.
  2. The State Medicaid Integration Tracker provides current information on state efforts to expand community based long-term services and supports, including: (a) the Medicare/Medicaid Dual Eligible Demonstrations; (b) the Balancing incentives Program (BIP); (c) Medicaid Home and Community Based Services under 1915(i) state plan amendments; and (d) Community First Choice Option opportunities. All of these are important for people with disabilities living in HUD housing or receiving related housing assistance and services.

NASUAD provides e-mail updates of information from both of the above Tracker components.  Interested parties can sign up for e-mail updates at www.nasuad.org.

For more information, please visit HUD's OneCPD Affordable Care Act website.

  • Every state has a Health Insurance Marketplace that functions as a portal to health coverage. 
  • Some states have elected to operate their own Marketplace, others to be served by a Marketplace operated by the federal government, and still others to share some responsibilities in partnership with the federal Marketplace.  
  • The Marketplaces are intended to facilitate access to affordable healthcare coverage for people with incomes below 400% of the federal poverty level (FPL) in every state (even in those that have elected not to expand Medicaid coverage to people with incomes below 138% of the FPL).  
  • In addition, in all states people who are currently eligible for the legacy Medicaid program can be identified and referred for Medicaid enrollment by the Marketplace, without regard to the states’ decisions about Medicaid coverage expansion.
  • The federal government is funding specialized outreach and enrollment assistance in every state.
*Because of possible new insurance options, and the increase in access to enrollment for many clients, it is essential that housing and services providers use the information available on websites such as http://www.enrollamerica.org to familiarize themselves with the Health Marketplace options in their state, and develop a plan to assist their constituents to obtain Medicaid or affordable health insurance coverage.

Visit the OneCPD Resource Exchange at https://www.onecpd.info
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