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Four states eliminate ‘retroactive Medicaid’ coverage

If youre poor, uninsured and fall seriously ill, in most states if you qualify for Medicaid but werent enrolled at the time the program will pay your medical bills going back three months.

By Michelle Andrews, Kaiser Health News | Updated on November 14, 2017
In Iowa, the change will affect up to 40,000 residents annually and save the program more than $36 million a year. (Photo: Shutterstock)

If you’re poor, uninsured and fall seriously ill, in most states if you qualify for Medicaid — but weren’t enrolled at the time — the program will pay your medical bills going back three months. It protects hospitals, too, from having to absorb the costs of caring for these patients.

But a growing number of states are rescinding this benefit known as “retroactive eligibility.” On Nov. 1, Iowa joined three states that have eliminated retroactive coverage for some groups of Medicaid patients since the Affordable Care Act passed. Each state had to secure approval by the federal government.

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