MEDICAID By Allen Jiles History of Medicaid Medicaid

MEDICAID By: Allen Jiles

History of Medicaid • Medicaid was created by the Social Security Amendments of 1965 • It was created as an entitlement program to help states provide medical coverage for low-income families and other individuals who meet eligibility requirements

What is Medicaid? • A health program for families and individuals with low income and resources • It is funded by the state and federal governments • Managed by the states(may qualify in one state but not the other)

Medicaid vs Medicare • Medicare is a social insurance program funded at the federal level • For people age 65 or older, under 65 with certain disabilities and people of all ages with end stage renal disease • Medicaid is a needs-based social welfare program. Eligibility is largely on income. • Income plays no role in Medicare coverage

What does Medicaid cover? • Laboratory and X-ray services • Inpatient hospital services • Health screenings for children and treatment if medical problems are identified • Comprehensive dental and vision services for children • Family planning services and supplies • Long-term care services and supports • Medical and surgical dental services for adults

• Pediatric and family nurse dental services for adults • Services provided In health clinics • Nurse-midwife services • Nursing facility services for adults • Home health care services for certain people • Prescription drugs

Buy-Ins • Some 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

Expansion in 2014 • Starting 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

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 program • All 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.

Coverage for children • If 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)

Resources • http: //www. healthcare. gov/index. html • http: //www. medicaid. gov/