State Medicaid programs are well positioned to serve multiple roles in the development and administration of state Health Benefit Exchanges being implemented under the Affordable Care Act (ACA). Looking ahead to 2014, Medicaid will be both an option in the continuum of health insurance coverage and an essential partner in developing, governing, and operating each state’s new health benefit exchange. This paper highlights opportunities for states to support and expand Medicaid’s current role in planning new state Exchanges in eligibility, enrollment and outreach; health plan standards and requirements; benefit package design; and infrastructure: governance, operations and finance.
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