Idaho Seeks Waiver to Move Medicaid Enrollees to ACA Marketplace Coverage

Idaho has submitted a waiver application requesting federal approval to transition certain Medicaid enrollees to ACA Marketplace plans while maintaining Medicaid-specific requirements, including work requirements. If approved, affected enrollees would face higher out-of-pocket costs and reduced benefit protections compared to traditional Medicaid coverage. The proposal would impact thousands of Idaho residents currently enrolled in Medicaid. Managed care organizations operating in Idaho should monitor this waiver for potential impacts on enrollment, member cost-sharing, and program design if the administration approves the state's request.

Managed Care · Finance