2 History of MedicaidMedicaid was created by the Social Security Amendments of 1965It was created as an entitlement program to help states provide medical coverage for low-income families and other individuals who meet eligibility requirements
3 What is Medicaid?A health program for families and individuals with low income and resourcesIt is funded by the state and federal governmentsManaged by the states(may qualify in one state but not the other)
4 Medicaid vs MedicareMedicare is a social insurance program funded at the federal levelFor people age 65 or older, under 65 with certain disabilities and people of all ages with end stage renal diseaseMedicaid is a needs-based social welfare program. Eligibility is largely on income.Income plays no role in Medicare coverage
5 What does Medicaid cover? Laboratory and X-ray servicesInpatient hospital servicesHealth screenings for children and treatment if medical problems are identifiedComprehensive dental and vision services for childrenFamily planning services and suppliesLong-term care services and supportsMedical and surgical dental services for adults
6 Pediatric and family nurse dental services for adults Services provided In health clinicsNurse-midwife servicesNursing facility services for adultsHome health care services for certain peoplePrescription drugs
7 Buy-InsSome states have “buy-in” programs that allow people with disabilities with incomes above regular Medicaid limits to enroll in the Medicaid program. Children with disabilities can qualify for Medicaid either under these disability-related rules, or based on family income
8 Expansion in 2014Starting in 2014, the Affordable Care Act will expand the Medicaid program to cover people under age 65, including people with disabilities, with income of about $15,000 for a single individual.This expansion helps low-income adults who have disabilities but don’t meet the disability requirements of the SSI program
9 Special coverage for Women Breast and Cervical Cancer Prevention and Treatment Medicaid programs are available to eligible women who are diagnosed with either breast and/or cervical caner through the state screening programAll states must cover pregnant women with incomes up to about $20,000 as an individual. Most states cover pregnant women under Medicaid with higher incomes, and some states cover pregnant women under CHIP.
10 Coverage for childrenIf you’re enrolled in Medicaid when your baby is born, your child is automatically eligible for Medicaid until your child’s first birthday.All states provide coverage for children through Medicaid and CHIP. Your children are likely to be eligible for coverage if your income is up to about $45,000 per year (family of four)
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