Mark Dietrich, CPA, discussed the recently upheld Patient Protection and Affordable Care Act (PPACA) in a recent VSCPA webinar. Mark fielded several questions that required further research, which went out in an email to webinar attendees.
Since the information was so useful, Mark has agreed to post his answers on CPA Cafe. This information and much more can be found on Mark's blog.
Medicaid Presumptive Eligibility – Here is the quote from the Financial Professional’s Guide to Healthcare Reform
to the reform legislation, states could—but were not required to—make
presumptive eligibility determinations only for children, pregnant
women, and women suffering from breast and cervical cancer. Effective
January 1, 2014, and subject to pending regulations, certain medical
providers including hospitals will be permitted to provide and be paid
for Medicaid-covered services to presumptively newly eligible
individuals and families. This change permits the presumptively eligible
to receive coverage before the required Medicaid application is filed;
the application is necessary to determine actual eligibility. The
legislation also provides that any subsequent determinations of
ineligibility will not be counted against the state in the determination
of its error rate.”
Subtitle C—Medicaid and CHIP Enrollment
Simplification, Sec. 2202. Permitting hospitals to make presumptive
eligibility determinations forall Medicaid eligible populations
Link to U.S. Senate website http://dpc.senate.gov/healthreformbill/healthbill96.pdf
Medicare Tax Withholding
– Employer’s are NOT required to withhold the tax unless the wages of
an individual exceed the $200,000 level. Individuals who are married and
whose combined income will exceed the $250,000 threshold must factor it
into their estimated tax payments.
Tricare – here is a link to what Tricare had to say after the legislation passed.
And, after the Supreme Court Decision
Applicability of Reporting to Governmental Units - Here is the quote from the Financial Professional’s Guide to Healthcare Reform
employer-sponsored coverage also includes any group health plan
established and maintained primarily for its civilian employees by the
government of the United States, by the government of any state or
political subdivision thereof, or by any agency or instrumentality of
any such government.”