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Medicaid and ACA Subsidy Determination

The process of determining eligibility for Medicaid and Affordable Care Act subsidies based on the Federal Poverty Level

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Jan 11, 2026
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How do states decide whether to use the current-year or prior-year FPL for Medicaid and ACA subsidy determinations?

States do not independently choose whether to apply the “current-year” or “prior-year” Federal Poverty Level (FPL) for Medicaid and Affordable Care Act (ACA) premium-subsidy determinations; federal pr...

Jan 22, 2026

How do 209(b) designations affect automatic Medicaid enrollment for SSI beneficiaries in practice?

is a carve‑out in federal law that lets some states apply more restrictive Medicaid rules than federal SSI standards, so in those states receiving SSI does not automatically produce ; most other state...