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Essential Health Benefits in the Medicaid Program

Guidance for : The purpose of this letter is to provide guidance to states on Medicaid benchmark benefit coverage options (hereafter referred to as �Alternative Benefit Plans�) under section 1937 of the Social Security Act. Under the Affordable Care Act, states will rely on the benefit options available under section 1937 as they expand eligibility to low-income adults beginning January 1, 2014.

Download the Guidance Document

Issued by: Centers for Medicare & Medicaid Services (CMS)

Issue Date: November 20, 2012

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DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.