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Resources (Medicaid) « Medicaid

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Medicaid:
Government and Other Resources

Government Resources:

  • Centers for Medicare & Medicaid Services (CMS – U.S. Dept. of Health & Human Services)
    Federal agency that administers Medicaid and Medicare programs.
  • CMS Updates Medicaid Hospice Fact Sheets and Brochures (April 2016)
    The Centers for Medicare & Medicaid Services (CMS) recently updated its Medicaid Hospice resources. The fact sheets and brochures are intended as educational tools for recipients, providers, and other stakeholders about Medicaid hospice benefits including fraud detection and reporting.

  • Cokie Roberts Answers Your Questions About Medicaid (7/19/17)
    A controversial part of the Republican health care plan involved cutting Medicaid funding. Commentator Cokie Roberts answers listener questions about Medicaid.

  • Medicaid Eligibility in Michigan: 40 Ways (Center for Healthcare Research & Transformation) 
    In Michigan, there are no fewer than 40 different ways to qualify for Medicaid or other government-supported medical assistance.

  • Overview on Medicaid from CMS: (click for more information and links)
    Good health is important to everyone. If you can't afford to pay for medical care right now, Medicaid can make it possible for you to get the care that you need so that you can get healthy – and stay healthy.
  • Medicaid is available only to certain low-income individuals and families who fit into an eligibility group that is recognized by federal and state law. Medicaid does not pay money to you; instead, it sends payments directly to your health care providers. Depending on your state's rules, you may also be asked to pay a small part of the cost (co-payment) for some medical services.
  • Medicaid is a state administered program and each state sets its own guidelines regarding eligibility and services. Read more about your state Medicaid program. 
  • Many groups of people are covered by Medicaid. Even within these groups, though, certain requirements must be met. These may include your age, whether you are pregnant, disabled, blind, or aged; your income and resources (like bank accounts, real property, or other items that can be sold for cash); and whether you are a U.S. citizen or a lawfully admitted immigrant. The rules for counting your income and resources vary from state to state and from group to group. There are special rules for those who live in nursing homes and for disabled children living at home.
  • Your child may be eligible for coverage if he or she is a U.S. citizen or a lawfully admitted immigrant, even if you are not (however, there is a 5-year limit that applies to lawful permanent residents). Eligibility for children is based on the child's status, not the parent's. Also, if someone else's child lives with you, the child may be eligible even if you are not because your income and resources will not count for the child.
  • In general, you should apply for Medicaid if your income is low and you match one of the descriptions of the Eligibility Groups.  (Even if you are not sure whether you qualify, if you or someone in your family needs health care, you should apply for Medicaid and have a qualified caseworker in your state evaluate your situation.)
     
  • State Medicaid RACs At a Glance (Centers for Medicare & Medicaid Services)
    Section 6411 of the Affordable Care Act of 2010 required States and territories to establish Medicaid Recovery Audit Contractor (RAC) programs. Medicaid RACs are tasked with identifying and recovering Medicaid overpayments and identifying underpayments.

Other Resources re: Medicaid:

  • Resources on Duel-Eligible Beneficiaries (Kaiser Foundation) 
    About 9 million people in the United States are covered by both Medicare and Medicaid, including low-income seniors and younger people with disabilities. These dual eligible beneficiaries have complex and often costly health care needs, and have been the focus of many recent initiatives and proposals to improve the coordination of their care aimed at both raising the quality of their care while reducing its costs. These resources examine the dual eligible population, their health care needs and spending, and ongoing efforts to coordinate care across the two programs.
  • Medicaid Expansion Toolbox (NHelp.org) 
    This is a one-stop resource center for health advocates and states working to implements health reform and the Medicaid expansion.  The Toolbox includes the latest Medicaid policy developments, analysis and strategies for state advocates trying to ensure that Medicaid truly works for eligible individuals.