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Montana Medicaid-expansion talks

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Glacier National Park, in Montana.

Now that Montana is the only state to say yes to Medicaid expansion this year, the devil is in the details. If the Centers for Medicare and Medicaid Services (CMS) accepts its plan, it will join 28 other states and the District of Columbia in accepting federal funding to expand the joint federal-state healthcare program to patients with an income below 138 percent of the federal poverty level.

But an  expert on Medicaid waivers note to Kaiser Health News that the Big Sky State probably won’t get exactly what it wants.

“A waiver proposal never comes out the way that it went in,” said Joan Alker, executive director of the Center for Children and Families at Georgetown University. “All of these waiver negotiations require some flexibility on both sides.”


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