Medicaid

Question 1

Medicaid background

Answer 1

-Federal-state partnership, unlike Medicare. Federal law sets the rules and then the states fill in the rest.

-Provides coverage to poor children, pays for births, serves as Medicare supplement policy for poor elderly & pays for nursing homes for poor people

-ACA enabled states to expand Medicaid to adults w/ incomes up to 138% poverty level & provided states with $$ for this

Question 2

Are Green Card holders eligible for Medicaid?

Answer 2

Yep, though some states have a 5 year waiting period.

Question 3

Nursing Home Care spend-down requirements

Answer 3

Spending money so one can meet Medicaid eligibility requirements

Question 4

To meet Medicaid spend-down requirements, can you gift money to others?

Answer 4

Well, there is a 5-year lookback period.

No, if it’s during the 5 year lookback period.

Question 5

Children’s Health Insurance Program (1997) (CHIP):

Answer 5

Provides coverage for uninsured children w/ family incomes > Medicaid eligibility (200-300% of FPL - $31,200 for family of 4). Also, pregnant women in many states

Block grants (“block grant” is a sum of money) to states, which can expand Medicaid coverage for kids, establish new CHIP program, or combine the 2.

Question 6

True or false - Under Section 1115 states can obtain waivers of various Medicaid requirements.

Answer 6

TRUE

Question 7

Medicaid eligibility:

Answer 7

1. If you receive social security payments and are a U.S. citizen, in almost every state you are automatically enrolled in Medicaid because that means you are not qualified to work.
2. Below 138% of poverty line
3. No citizenship? Alien Emergency Medical Assistance
4. CHIPS