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Reporter's Toolkit: Medicaid - Alliance for Health Reform (Nov.
1, 2007)
To help you understand who the Medicaid program covers, how it is
financed, how it differs from Medicare, how states can alter Medicaid through
federal waivers, and what the future holds for the program. Patti's note:
This info is intended for all states, so may not be exactly on point for Michigan. Budget
Ends the Only Therapy for Paralyzed Girl - TampaBay.com (Dec.
1, 2007)
State-mandated budget cuts mean no more funding for massage therapy
for those with disabilities. Center
for Medicare & Medicaid Services Letter (Disabled and Elderly Health
Programs Group)
Official letter re: Savings Generated by Money Follows the
Person Rebalancing Demonstration implementation Elderly
Medicare, Medicaid Patients Not Receiving Quality Care (Science
Daily - Oct. 2007)
If the care received by vulnerable older people concurrently
enrolled in Medicare and Medicaid was evaluated on a grading scale, it would squeak
by with a barely passing mark, a new UCLA study has found. Economic
Stimulus Tax Rebates and Digital Television Converter Box Coupons (Centers
for Medicare & Medicaid Services - Feb. 2008)
Info on whether tax
rebates and digital box converter coupons are counted as income under Medicaid. Funding
for People with Disabilities Targeted in New Medicaid Regs (Action
Online)
New regulations for the Medicaid program, Targeted Case Management. GAO
Discusses Medicaid Modernization Act Implementation by SSA
(Report - August 2007)
Government Accountability Office report
to the Committee on Finance, U.S. Senate. Go
to the Back of the Bus! (One
Dad's Opinion Blog - Sept. 2007)
Regulations Proposed to Eliminate Federal
Medicaid Reimbursement to Schools - an opinion from a dad raising an autistic
child. How
to Avoid Medicaid Penalties
(Newsday.com - 11/8/08)
The problem: Can I halve my available resources for
Medicaid purposes if I place my money in a joint account with my adult child?
Why do I hear about people getting Medicaid benefits for nursing home care without
a penalty period? Insurance
to Let Seniors Use Medicaid Without Going Broke
(Dallas News - 12/22/08)
Texans who plan for their old age will get a special
break from the state.
John
Sullivan Update (December 2008)
I represented John Sullivan in
an appeal seeking more state funding for Mr. Sullivan. For more info on this case,
see Medicaid
Does Not Have to Find In-Home Services, Judge Rules and Ruling
Won't Force In-Home Medicaid. Kaiser
Daily Health Policy Report
- KaiserNetwork.org (Dec. 17,
2007)
HHS announced the approval
of a Medicaid waiver in Indiana that will permit the state to enroll low-income
residents in a state-subsidized, high-deductible health care that includes provisions
similar to health savings accounts. Long-Term
Service and Supports: The Future Role and Challenges for Medicaid
(The Kaiser Commission - Oct. 10, 2007)
Based on a roundtable discussion
of policy makers and experts, the report highlights policy challenges facing the
Medicaid program today and identifies issues in providing long-term care going
forward. Major
Changes in Both Medicaid and Medicare Affecting Your Clients (Sanford
J. Mall, JD, CELA - Summer. 2007)
Recap of changes in law
and policy that vastly affect basic health care, catastrophic medical, rehabilitation
and long-term care for elders and persons with disabilities.
Medicaid
Agency's Residency Requirements Violates U.S. Constitution (Academy
of Special Needs Planners - Sept. 2007)
A U.S. district court holds that requiring
a developmentally disabled Medicaid applicant to reside in-state for a period
of time before benefits are determined is a violation of her fundamental rights. Medicaid
Applying and Eligibility (Lift
Chair Guide - May 2008)
While Medicaid is funded by both the
federal government and the state government, it is, for the most part, in the
hands of the states to provide the actual care. The federal government has a set
of regulations that every state must follow. Medicaid
Faces New Mandate (HealthDecisions.Org
- Oct. 2007)
As
a result of a federal mandate, state Medicaid agencies will be required to use
tamper-resistant prescription drug pads for outpatient drugs provided to Medicaid
recipients. Medicaid
Law: An Overview (Cornell
University Law School) Medicaid
Regulatory Issues (Congressional Research Service - 11/26/08)
A
summary of 7 proposed and final rules affecting the Medicaid program that were
issued by the Bush Administration during 2007 and 2008.
Medicaid
Waiver News (April 30,
2008)
Budget
update and info re: Medicaid Reform
Medicare
& Medicaid (AGIS)
Discusses
the differences between these complicated government programs. Myths
About the Medicaid Program and the People it Helps
(AARP - Nov. 2008)
Addresses common misconceptions about Medicaid. Neediest
Cases Appeal Raises More than $116,000 So Far (Charleston
Daily Mail - Dec. 25, 2007)
Medicaid will pay the expense of pulling
bad teeth, but it won't pay for dentures or other replacements. Next
Steps: Children can help mom best with advice of a lawyer (Post-Gazette
- 11/25/08)
A good summary of Medicaid planning and the use of special needs
trusts. Nursing
Home Compare (Centers for
Medicare & Medicaid Services)
Detailed information about the past performance
of every Medicare and Medicaid certified nursing home in the country. Overview
of Medicaid (Wall Street Journal - May 18, 2008)
Medicaid
is commonly called the government health-care program for the poor, but it pays
for more than two-thirds of long-term nursing-home stays. That means many middle-income
Americans with savings will come to rely on the program. Policy
regarding Payment for Private Room by Medicaid (Medicaid Provider
Manual - April 1, 2008)
Please be aware of the following Medicaid policy
about the payment for a private room.
Screw
Medicaid - (Thoughts from the Pharmacy God blog - Sept. 2007)
A pharamicist's thoughts on why he is now 100% anti-Medicaid. States
Must Balance Declining Revenues with a Growing Need for Medicaid -
(Families USA - July 2008)
As the economy heads into a recession, states
are finding themselves in the difficult position of trying to make up for deficits
in the current fiscal year. Also see Medicaid
State Spending and Your State's Economy. Study
Spotlights Growing Role of Medicare in Propping Up Nation's Medicaid Program
- (EMaxHealth - Oct. 2007)
New BDO Seidman study of the nation's Medicaid
program draws much needed attention to a chronic and worsening problem: Medicare's
cross-subsidization of increasingly inadequate Medicaid payments for nursing home
care. Patti's note: "I could not agree more!" To
Capture the Wild Pickle and Other Adventures in Medicaid Eligibility
- (The Colorado Lawyer - May 2005)
When it comes to Medicaid eligibility,
former lower-wage workers are sometimes treated worse than those who never worked.
U.S.
Ruling Backs Benefit Cut at 65 in Retiree Plans - (New York Times
- Dec. 27, 2007)
The Equal Employment Opportunity Commission said that employers
could reduce or eliminate health benefits for retirees when they turn 65 and become
eligible for Medicare. | 
