We’re starting to hit the point of no return for any states that want to expand Medicaid with a go live date of January 1, 2015. A state that is authorized to expand Medicaid in anything other than a straight up expansion probably needs a good three to four months to get initial operating capacity built out. They will need six to nine months to get everything working correctly after that. A state that is doing straight up expansion based on current configuration can go live with minimal hassles with a month’s notice.
So what is the state of play on Medicaid expansion for 2015.