Medicaid Expansion

In November 2018, Idaho voters passed Proposition Two to expand Medicaid. In April 2019, the Idaho legislature passed, and Governor Little signed into law, SB 1204.

Prior to Medicaid expansion, eligible individuals and families with an annual household income between 100-400% of the Federal Poverty Level (FPL) could enroll with Your Health Idaho and receive the Advance Premium Tax Credit (APTC) to help reduce the cost of monthly insurance premiums.

With the passage of SB 1204:

  • Eligible Idahoans with an annual household income under 100% of FPL can enroll in Medicaid.
  • Eligible Idahoans with an annual household income of 100-138% of FPL can enroll through Your health Idaho and receive APTC to lower their monthly insurance premiums OR choose to decline APTC and enroll in Medicaid.
  • Eligible Idahoans with an annual household income of 139-400% of FPL can enroll through Your health Idaho and receive APTC to lower their monthly insurance premiums.
  • Eligible Idahoans with an annual household income greater than 400% of FPL can enroll in a plan from Your Health Idaho, but will not receive APTC or other cost savings.

The regulations listed above require approval from the federal government before they can be implemented. If these regulations are denied, or if a decision is delayed beyond October 2019, traditional Medicaid expansion will take effect January 1, 2020.

Traditional Medicaid expansion would require eligible Idahoans with an annual household income between 0-138% of FPL to enroll in Medicaid. Eligible Idahoans with a household income of 139-400% of FPL would still be able to enroll in coverage through Your Health Idaho and receive APTC to lower monthly premium payments.  

This is an ongoing process and Your Health Idaho is actively working to understand any impacts to our customers. We will update this page as more information is confirmed. Please check back soon.

Visit the Medicaid expansion web page from the Idaho Department of Health and Welfare for additional information.

Frequently Asked Questions

Medicaid eligibility is determined by the Idaho Department of Health and Welfare. For more information about eligibility requirements, please visit the Department of Health and Welfare website.

Complete the application for Health Coverage Assistance with the Idaho Department of Health and Welfare. Once the application is complete, you will know if you, or members of your household, are eligible for Medicaid, CHIP, APTC, or other cost saving programs.

Idaho Medicaid offers low-cost or free health insurance coverage to Idahoans with limited income. Your Health Idaho is the state insurance exchange where Idahoans can shop and compare plans and receive financial assistance if they qualify. Health plans available through both Medicaid and Your Health Idaho must cover a similar set of Essential Health Benefits.

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