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Related to Medicaid: Medicare


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 ?
Founding members of the Partnership for Medicaid Home-Based Care include AccentCare, Addus HomeCare, All Metro, BAYADA Home Health Care, Caring Associates, Centene, Home Care by Black Stone, Interim HealthCare, Molina Healthcare, ResCare, Sutter Care at Home, The Council for State Home Care Associations and VNA Health Group.
Nonetheless, the findings suggest that health care providers "should have a high index of suspicion" when a female Medicaid recipient younger than 16 presents for reproductive health services.
The law also requires CMS to add 100 full-time equivalent employees to work with states in support of their Medicaid program integrity efforts.
As noted in a Heritage Foundation report: "Medicaid's reimbursement rates have dipped so low and its bureaucracy has become so burdensome that many providers, especially physicians, have been forced to stop accepting Medicaid payments.
In practice, this emergency program may only work for patients who already have a Medicaid card--otherwise it is likely to be logistically impossible, given all the difficulties in the current program.
Research by Greve and his colleagues shows clearly that recent Medicaid growth doesn't reflect the "we couldn't help it" line peddled by politicians and their handlers.
Many families try to shift assets from the prospective Medicaid applicant to other family members as compensation for prior services (such as providing care).
States may apply for approval of a demonstration project permitting people who have a potentially disabling condition but are still able to work to buy into Medicaid.
As a result of the meeting, and in an ongoing effort to pull together activities in this area, two HHS officials--Bob Williams, Deputy Assistant Secretary for Disability, Aging, and Long-Term Care Policy, and Sally Richardson, Director of the Center for Medicaid and State Operations in the Health Care Financing Administration--took on the task of establishing and co-chairing a Work Group on Home and Community-Based Services.
Although states are allowed to seek recovery on any Medicaid funds used for health services, most states go after only those people in long-term care.
The waivers enable the states to mandatorily enroll Medicaid recipients in managed care service delivery systems.
Insight Offered by CHT Founder Newt Gingrich, SHPS CEO Rishabh Mehrotra, HHS Secretary Michael Leavitt and 11 State and Federal Medicaid Leaders