Michigan has received federal approval to expand its "Healthy Michigan" plan to low-income state residents starting in April 2014. The plan includes cost-sharing provisions based on income and places time limits on coverage, but does include essential health benefits (EHBs) mandated by federal and state law. Michigan Governor Rick Snyder (R) authorized the expansion last September, and the state then submitted a waiver application to CMS to expand its program.
“With the approval of the Healthy Michigan Plan, we can move forward to bring coverage to residents, creating a healthier, more productive workforce while saving money for the state's taxpayers and job providers,” Snyder said in a Dec. 30 statement. “We thank the federal government for its speedy review and approval of Michigan's innovative plan and approach.”
With this approval, Michigan is the most recent state set to implement an alternative proposal to the Medicaid expansion provided for in the Affordable Care Act, bringing the current total of states expanding or planning to expand to twenty-eight, including the District of Columbia.