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By law, states must designate a single state agency to administer their Medicaid program and submit a plan to CMS that demonstrates their understanding of and how they will adhere to federal Medicaid rules and regulations.
By law, states must designate a single state agency to administer their Medicaid program and submit a plan to CMS that demonstrates their understanding of and how they will adhere to federal Medicaid rules and regulations.
Medicare is administered by the federal government, whereas Medicaid is a federal-state partnership administered by the states. Medicare provides health care coverage for those 65 and over, or those under 65 with a disability — regardless of income.
Medicare is administered by the federal government, whereas Medicaid is a federal-state partnership administered by the states. Medicare provides health care coverage for those 65 and over, or those under 65 with a disability — regardless of income.
States were granted the option to extend coverage to parents or caretakers of dependent children with incomes below 133% of the federal poverty level under the Affordable Care Act. Collectively, this population is known as the Medicaid Expansion population.
States were granted the option to extend coverage to parents or caretakers of dependent children with incomes below 133% of the federal poverty level under the Affordable Care Act. Collectively, this population is known as the Medicaid Expansion population.
States use waivers to waive certain Medicaid program requirements, allowing the state to provide care for people who might not otherwise be eligible under Medicaid & personalize their Medicaid programs to meet their state’s unique needs. For example, waivers may be used to cap the number of individuals covered or to expand home and community-based services.
States use waivers to waive certain Medicaid program requirements, allowing the state to provide care for people who might not otherwise be eligible under Medicaid & personalize their Medicaid programs to meet their state’s unique needs. For example, waivers may be used to cap the number of individuals covered or to expand home and community-based services.
All individuals must meet financial and non-financial requirements — which vary by state — to be eligible for Medicaid.
All individuals must meet financial and non-financial requirements — which vary by state — to be eligible for Medicaid.
The Medicaid program serves 50% of America’s children or approximately 37 million kids age 0-18.
The Medicaid program serves 50% of America’s children or approximately 37 million kids age 0-18.
States can authorize the use of managed care organizations (MCOs) to provide services to their Medicaid population. This helps states manage risk to taxpayers, control costs, make costs more predictable and improve care for those served by the program. The most common type of managed care structure is a comprehensive risk-based managed care arrangement, where a state contracts with an MCO, paying them a fixed dollar amount per member. 2/3 of Americans enrolled in Medicaid are served by Medicaid managed care.
States can authorize the use of managed care organizations (MCOs) to provide services to their Medicaid population. This helps states manage risk to taxpayers, control costs, make costs more predictable and improve care for those served by the program. The most common type of managed care structure is a comprehensive risk-based managed care arrangement, where a state contracts with an MCO, paying them a fixed dollar amount per member. 2/3 of Americans enrolled in Medicaid are served by Medicaid managed care.
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