New York Did Not Comply With Federal Grant Requirements for Claiming Marketplace Contract Costs to Medicaid and the Children's Health Insurance Program

New York established a health insurance marketplace under the provisions of the Patient Protection and Affordable Care Act to allow individuals and small businesses to shop for health insurance. The New York marketplace provides eligibility determination and enrollment services for both private health insurance plans offered through the marketplace and its State-based public health care programs: Medicaid and the Children's Health Insurance Program (CHIP).