Medicaid


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Medicaid,

national health insurance program in the United States for low-income persons and persons with disabilities. It was established in 1965 with passage of the Social Security Amendments and is now run by the Centers for Medicare and Medicaid Services. In 2010 the program was expanded as part of heath insurance legislation, to provide insurance for low-income people not eligible for subsidies under the new law, but the expansion was made voluntary for the states, and only about half the states elected to participate in the expansion (effective 2014). The federal role in Medicaid is limited to setting standards, issuing regulations and guidelines, and overseeing operation of the program by the states. More than 58 million people received Medicaid in 2013. Of the various services covered under Medicaid, about half of the funds are used to purchase in-patient hospital services and nursing home services; the remainder covers physician services, drugs, laboratory services, X rays, and other services. Political debate on the future of Medicaid has accompanied health-care reform and budget deficit reduction debates.
References in periodicals archive ?
Under Maine Rx, pharmacies will offer drugs at discounted prices to individuals not covered by private insurance or Medicaid.
It is clear the financing system for long-term care under Medicaid will not be able to withstand demographic demands that will more than double the number of its elderly beneficiaries.
We began with one simple concept in mind - think of Medicaid as a massive industry.
About half of physicians polled reported accepting new Medicaid patients in the same period, compared with over 70% for Medicare and privately insured patients.
In logistic regression analyses that controlled for age at Medicaid enrollment, length of enrollment, Alaska Native status and Anchorage residence, young women with a reproductive health claim were more likely than other Medicaid enrollees to be referred for any reason to child protective services (odds ratio, 2.
But the clawback aside, experts said Medicaid is slowing for many reasons, including an improving economy that has led to more people getting jobs and obtaining private insurance.
In Colorado, Michigan and many other states Medicaid has paid for services to dead beneficiaries.
On Extra Help, one expert told us, "Patients with screwed up enrollments have to repeat forcefully and continually that they are Extra Help patients (in whatever of the 3 categories: under 100% FPL (federal poverty level, or guidelines); 100 to 135% FPL; or 135% to 150% FPL, each time they call, talk to, email, correspond with or fill out a form with SSA (Social Security Administration), CMS (Centers for Medicare and Medicaid Services), the various 800 numbers, state Medicaid offices, state health insurance counseling offices, ADAP offices and workers--and most especially, with the Part D plans themselves (who are very, very inexperienced with welfare, Medicaid, ADAP, or any poor people's issues and therefore have to have patients' exact extra help status and be reminded repeatedly.
I trust the letter writer's outrage is motivated by genuine concern for the Medicaid system to help truly needy citizens, that he is a CPA legislator in the process of learning the complicated system and not simply making a political statement.
Georgia's medically needy program helped nursing home residents whose monthly income topped the Medicaid cap but did not have enough money to pay the approximately $3,000 to $3,500 per month required to live in a Georgia nursing home.
According to a study by the Kaiser Commission on Medicaid and the Uninsured, 44 states are looking at ways to control prescription costs, while 20 states are reviewing other benefits such as dental and vision coverage, and 15 states are lowering the incomes covered by the program or requiring more frequent verification of income status.