If your state chooses the Medicaid expansion option and also adopts the Medicaid presumptive eligibility option, children are covered at the enhanced FMAP until their Medicaid eligibility is determined. The law places several restrictions on how states finance their matching requirements. States must also maintain the same level of state spending on child health programs that they expended in 1996. The Center for Medicaid and State Operations in the Health Care Financing Administration will administer the program. State Plan States must submit a plan to the Secretary of Health and Human Services in order to receive funds.
States can submit amendments to their plans at any time.
There are no explicit requirements that states use a public process in developing their plan. However, if the state submits an amendment to restrict eligibility or benefits, the state must ensure that it has allowed prior public notice of the change. The Secretary may grant waivers to states seeking to spend more on these.