Medicaid Chapter 1

Long-Term Care Delivery System

The remainder of this book focuses on long-term care Medicaid. Long-term care refers to a wide range of supportive and…

2 years ago

Coverage for institutionalized individuals and related groups under the special income rule

States may extend Medicaid to certain individuals with incomes too high to qualify for SSI, and who are eligible for…

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Poverty-related group for the aged and disabled

The enactment of the Omnibus Budget Reconciliation Act of 1986 (OBRA 86) offered States an option for covering persons whose…

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Recipients of State Supplemental Payment (SSP) benefits

Many States provide SSP benefits with State-only dollars on a monthly basis. These payments are intended to cover such items…

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Medicaid and Persons who qualify for Supplemental Security Income (SSI)

With one important exception, States are required to provide Medicaid coverage to recipients of SSI. SSI, authorized under Title XVI…

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Mediaid Eligibility (in general terms)

The Federal Medicaid statute defines over 50 distinct population groups as being potentially eligible for States’ programs. Some groups (classes…

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Origins of the Medicaid Program

Medicaid was enacted in 1965, in the same legislation that created the Medicare program, the Social Security amendments of 1965…

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Medicare/Medicaid Relationship

The Medicare program (Title XVIII of the Social Security Act) provides hospital insurance (HI), also known as Part A coverage,…

2 years ago