Longest36620MedicaidA

Longest36620MedicaidA - Session 20 M edicaid Nations lar...

Info iconThis preview shows pages 1–9. Sign up to view the full content.

View Full Document Right Arrow Icon

Info iconThis preview has intentionally blurred sections. Sign up to view the full version.

View Full DocumentRight Arrow Icon

Info iconThis preview has intentionally blurred sections. Sign up to view the full version.

View Full DocumentRight Arrow Icon

Info iconThis preview has intentionally blurred sections. Sign up to view the full version.

View Full DocumentRight Arrow Icon

Info iconThis preview has intentionally blurred sections. Sign up to view the full version.

View Full DocumentRight Arrow Icon
This is the end of the preview. Sign up to access the rest of the document.

Unformatted text preview: Session 20 M edicaid Nations lar gest health insurance program 2002 51 million enrollees Cover s 20% of U.S. childr en Pays for mor e than 33% of childbir ths Cover s two-thir ds of the elderly in nur sing homes H elps mor e than 6 million elderly Nations lar gest health insur ance pr ogr am Pays for the bulk of ser vices pr ovided to AI DS patients F inances half of all states mental health ser vices I s our national safety net but cover s a wide var iety of age- gr oups, income-levels, and health MEDI CAI D Eligibility requirements 1. Categor ical individual must fit w/ in categor y (i.e. pregnant women) 2. I ncome I ndividual/Family must ear n no mnore than deter mined income level (i.e. 133% of FPL) 3. Resources I ndividual/ Family must not have non-wage assets that exceed eligibility limits 4. Residency individuals MEDI CAI D Eligibility requirements: 5. I mmigration status Legal immigrants must meet additional requirements including residency for at least 5 years Medicare Payments Medicaid Payments go directly to provider 15% of aged & 21% of disabled have Medicaid Secondar y t o Medicare Dual Eligibles For these groups, Medicaid pay Medicare par t B monthly premium; Medicare deductible & coinsurance Mandat ed Medicaid Ser vices Ever y State Medicaid Plan must cover Hospital inpatient & outpatient ser vices Physician ser vices Prenatal care Laborat or y & x-ray Family planning EPSDT (Well Child Exams) MEDI CAI D also mandates Maint enance Nursing Home Care (> 21 yrs. Old) Home Health Ser vices Outpatient Prescr iption Dr ugs Dual Eligibles NOW covered under Medicare Par t D Cer tain transpor tation ser vices Optional Ser vices (optional for states)...
View Full Document

This note was uploaded on 05/19/2010 for the course HSA 366 taught by Professor Lewis during the Spring '10 term at James Madison University.

Page1 / 29

Longest36620MedicaidA - Session 20 M edicaid Nations lar...

This preview shows document pages 1 - 9. Sign up to view the full document.

View Full Document Right Arrow Icon
Ask a homework question - tutors are online