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Medicaid/CHIP/SSI

Medicaid/CHIP/SSI

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LONG-TERM SERVICES AND SUPPORTS INCOME AND ASSET RULES: APPLICATION UNDER ACA CHANGES

New guidance offers insite on the application of asset counting rules, used in LTSS eligibility determinations, for individuals deemed Medicaid eligible under the new ACA methodologies. 

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MEDICAID: THE BASICS

u.s. mapThe Medicaid program finances medical services for more than 71 million Americans in 48 states at an estimated annual cost of roughly $432 billion. Understanding the basic Federal statutory and regulatory framework that governs the program is critical in allowing states to construct a design and administer a program specifically suited to their individual needs. (web page in progress)

MACPAC REPORT TO CONGRESS

The Medicaid and CHIP Payment and Access Commission (MACPAC) submitted a report June 2013 to Congress examining key policy issues in the Medicaid and CHIP programs. The Commission's work in these areas is intended to help the Comgress better understand the dynamics of the two programs.

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MEDICAID DATA AND RESEARCH TOOLS

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Data and reasearch tools from the federal government available on the web.

 

OVERVIEW

Medicaid and the Children’s Health Insurance (CHIP) Programs are the primary insurers of low-income children and special populations across the lifespan.  In recent years their combined enrollment exceeded 40 million lives and will grow even further with the expansion of the program under the Affordable Care Act (ACA). They are administered and funded through a Federal and State partnership, and on average represent the largest portion of total state spending. Each state designs and administers its own version of Medicaid under broad federal rules. The Social Security Administration’s (SSA) Supplemental Security Income program (SSI) provides cash assistance for eligible aged, blind, and disabled individuals with limited financial means. Most states offer additional supplements to certain groups or caregories of individuals on SSI. Since Federal requirements apply in all three programs, understanding these requirements and State options are critical to management of both quality and cost of these health programs.

 

 

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SEARCH FEDERAL HEALTH ISSUES

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FEATURED

  • Long-term Services and Supports Income and Asset Rules: Application With MAGI Eligible Medicaid Beneficiaries

    Individuals whose Medicaid eligibility is determined using MAGI rules are not subject to an asset or resources test for purposes of determining Medicaid eligibility. However, a number of other statutory provisions are implicated when an individual seeks Medicaid coverage for long-term services and supports. This document describes asset counting rules and how they may apply to MAGI eligible Medicaid beneficiaries.

  • 2014 Federal Poverty Level Standards

    Update of the Department of Health and Human Services (HHS) poverty guidelines used as an eligibility criterion by the Community Services Block Grant program and a number of other Federal programs.

  • Medicaid Workforce

    The video on this page looks at the challenges of ensuring there is an adequate supply of health care providers for the additional patients entering the Medicaid system.

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