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The Affordable Care Act included many new opportunities for states to augment and improve their Medicaid and CHIP programs. As a result there has been a great deal of state plan amendment (SPA) activity over the past several years in the areas of eligibility, benefits design and financing, as well as new approaches to providing health homes, long-term services and supports, and enrollment strategies like hospital presumptive eligibility. See below for a state-specific list of approved Medicaid SPAs. United States Virgin Islands Medicaid SPAs Demonstrations and Waivers Demonstration and waivers are vehicles states can use to test new or existing ways to deliver and pay for healthcare services in Medicaid and CHIP.
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For the period of July 1, 2011 through September 30, 2019, section 2005 of the Affordable Care Act provided an additional $273. 8 million in Medicaid funding to the United States Virgin Islands. For the 50 states and the District of Columbia, the federal government will match all Medicaid expenditures at the federal matching assistance percentage (FMAP) rate based on the state’s per capita income. For the United States Virgin Islands, all Medicaid expenditures are matched until the Medicaid base funds and the Affordable Care Act funds are exhausted.
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Virgin Islands LPL for Medicaid and CHIP eligibility groups: Household Size Medicaid 1 $1, 305. 00 2 $1, 757. 00 3 $2, 209. 00 4 $2, 661. 00 Monthly Medicaid Enrollment Data As of September 23, 2021, the U. Virgin Islands has enrolled 34, 158 individuals in in the Medicaid and CHIP program. Medicaid Application United States Virgin Islands Medicaid application Medicaid State Plan Amendments The state Medicaid and CHIP plans spell out how each state has chosen to design its program within the broad requirements for federal funding. As always, states amend their Medicaid and CHIP state plans in order to inform CMS of programmatic and financing changes and to secure legal authority for those changes.
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The statutory FMAP local matching rate increased from 50%/ 50% to 55% federal /45% local, effective July 1, 2011. From January 1, 2014 to December 31, 2015 there is a temporary 2. 2% FMAP increase for all Medicaid enrollees, bringing The United States Virgin Islands’ FMAP to 57. 2%. Medicaid-Marketplace Overview The United States Virgin Islands was awarded $24. 9 million for its Medicaid program in lieu of establishing a health marketplace.
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The United States Virgin Islands must exhaust its Affordable Care Act (section 2005) allotment prior to using these funds. Medicaid and CHIP Standard Monthly Income Eligibility Levels as of April 2017. Eligibility in the USVI differs from eligibility in the states. The U. S. Virgin Islands uses a local poverty level (LPL), rather than the federal poverty level (FPL), to determine eligibility. Medicaid eligibility and CHIP eligibility is based on Modified adjusted gross income (MAGI). The following table provides a more detailed view of the U. Virgin Islands’ MAGI -based eligibility levels, expressed as a percentage of the U.
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United States Virgin Islands | MedicaidMedicaid Overview The Medicaid program in the United States Virgin Islands differs from Medicaid programs operating in each of the 50 states and the District of Columbia in three important ways. The United States Virgin Islands Medicaid delivery system is a subset of the larger public government healthcare delivery system for most of the island’s population. The United States Virgin Islands Department of Human Services is the single state agency. Through section 1108 of the Social Security Act (SSA), each territory is provided base funding to serve their Medicaid populations.
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