February 2, 2018 Joan Alker Following the recent approval of Kentucky’s waiver, Indiana becomes the second major waiver approva l by the Trump Administration which establishes more barriers to Medicaid coverage. This is an unfortunate but not surprising turn of events. It’s worth noting that Indiana’s own evaluation shows numerous barriers to coverage already existing in Indiana’s HIP 2.0 program , yet these are not addressed – in fact they are likely to worsen under the new terms and conditions. The most often highlighted of these is a work requirement – Indiana becomes the second state after Kentucky to receive CMS approval for this new approach – and likely the second state where litigation will be filed on this and other issues. (For a summary of the Kentucky case see National Health Law Program’s summary .) Indiana’s work requirement has different twists and turns as compared to Kentucky’s (remember these waivers are extremely complex and hard to follow
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