1. Connecticut’s Experience as an Early Adopter of the Medicaid Expansion Connecticut State Representative Elizabeth B. Ritter Progressive States Network Medicaid Expansion Webinar, April 22, 2013

2. Connecticut Medicaid Expansion Connecticut is one of 11 states that partially expanded Medicaid coverage to low-income childless adults prior to Jan. 1, 2014. Replaced a 100% state funded program that covered people up to 56% FPL with Medicaid. Currently draws down a 50% federal match. Starting Jan. 1, 2014, match will be 100%.

3. Expanded Medicaid Enrollment CT expansion began in April 2010

4. Husky A (“Control Group”) Eligibility: Children + parent/caretaker relatives <185% FPL Pregnant women <250% FPL Husky D (Expansion Group) eligibility: Childless adults <56% FPL who do not receive federal supplemental security income

5. Causes of enrollment increase Economic downturn Removal of the $1,000 asset test Pent up demand Aggressive enrollment by hospitals, FQHCs, and other providers due to better reimbursement and better benefits package than previous SAGA Medical Program New benefits included skilled nursing and better access to non-emergency transportation and home health services

6. Medicaid Expansion Cost Trend

7. Final Thoughts Impact of economic downturn, unemployment, demographics, utilization may vary by state. 100% federal reimbursement for first three years may capture the pent up demand. More Medicaid dollars in the economy = state economic boost. More coverage = reductions in uncompensated care costs. Ensure Medicaid agency collects data on demographics and utilization to help monitor enrollment and cost trends.