National Council on Disability


Appendix Appendix Table 1. Medicaid Alternative Benefit Plans (ABPs)



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Appendix

Appendix Table 1. Medicaid Alternative Benefit Plans (ABPs)


State

Type of Expansion

Type of plan on which ABP is based

Commercial Plan Name

Medicaid

Commercial

Arizona

Traditional

Yes

No

N/A

Arkansas

Waiver

Yes

No

N/A

California

Traditional

No

Yes

Standard Blue Cross/Blue Shield Preferred Provider Option-FEHBP

Colorado (two options offered)

Traditional

Yes

Yes

Kaiser Foundation Health Plan of Colorado Deductible HMO 1200D

Connecticut

Traditional

Yes

No

N/A

District of Columbia

Traditional

Yes

No

N/A

Delaware

Traditional

Yes

No

N/A

Hawaii

Traditional

Yes

No

N/A

Illinois*

Traditional

No

Yes

Blue Cross Blue Shield BlueAdvantage Entrepreneur

Indiana (1)**

Proposed Waiver

No

Yes

Advantage 1001

Indiana (2)***

Proposed waiver

No

Yes

Advantage 1001

Iowa (1)

Waiver

No

Yes

Iowa Wellness Plan

Iowa (2)

Waiver

No

Yes

Iowa Marketplace Choice Plan

Kentucky

Traditional

Yes

No

N/A

Maryland

Traditional

Yes

No

N/A

Massachusetts (1)****

Traditional

Yes

No

N/A

Massachusetts (2)*****

Traditional

Yes

No

N/A

Michigan

Waiver

No

Yes

Priority Health HMO

Minnesota

Traditional

Yes

No

N/A

Nevada

Traditional

Yes

No

N/A

New Hampshire

Waiver

No

Yes

Matthew Thornton Blue Health Plan

New Jersey

Traditional

Yes

No

N/A

New Mexico

Traditional

No

Yes

Expansion Alternative Benefit Plan

New York

Traditional

No

Yes

Standard Blue Cross Blue Shield Federal Employee

North Dakota

Traditional

No

Yes

Sanford Health Plan

Ohio

Traditional

Yes

No

N/A

Oregon

Traditional

Yes

No

N/A

Pennsylvania

Waiver

No

Yes

Plans vary by region******

Rhode Island

Traditional

Yes

No

N/A

Vermont

Traditional

Yes

No

N/A

Washington

Traditional

Yes

No

N/A

West Virginia

Traditional

Yes

No

N/A

Notes: In Illinois, the state benchmark plan is used as the ABP. However, any services provided by the benchmark plan that are not covered by Medicaid are excluded from coverage. **Health Indiana Plan (HIP) Basic Plan; ***HIP Plus Plan. Enrollment in HIP Plus is dependent on enrollees’ monthly contributions to their Personal Wellness and Responsibility (POWER) account. If they contribute, they remain eligible for HIP Plus, which offers extended services and fewer copays. If not, coverage is reduced to HIP Basic; ****MassHealth Standard Plan; *****MassHealth Care Plus, which is a limited version of Medicaid, available only to people over age 21; ******Under the waiver, Pennsylvania has been divided into nine regions, each of which has at least two Primary Care Options (PCOs), which newly eligible adults can choose between. However, Pennsylvania’s current governor has announced plans to transition to a traditional Medicaid expansion.




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