Changing Medicaid Formula Can Improve Distribution of Funds to States: Report to the Congress

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Page 1 - AFDC or the Supplemental Security Income (SSI) program for the aged, blind and disabled. In general, receipt of a welfare payment under one of these programs means automatic eligibility for Medicaid. 42 CFR § 448.201. In addition, states may provide Medicaid to the "medically needy.
Page 1 - Program Title XIX of the Social Security Act provides for a program of medical assistance for certain low-income individuals and families. The program, known as Medicaid, became Federal law in 196S.
Page 1 - ... poor, low, and middle income alike — who take advantage of these programs. § 17. Medical Services and Abortions In 1965 Congress added Title XIX to the Social Security Act, creating a comprehensive program of medical assistance for the needy (popularly called Medicaid). 42 USC §§ 1396-1396g. Medicaid is financed jointly with state and federal funds, with the current federal contribution to the cost of the program ranging from 50 percent to 78 percent. It is basically administered by each...
Page 2 - States, the District of Columbia, Puerto Rico, Guam, the Virgin Islands, and the Northern Marianas.
Page 1 - ... coverage provisions were considered as categorically needy and were eligible for the same services provided under Medicaid to cash assistance recipients. (3) Coverage of the medically needy. (i) States could limit coverage under Medicaid to the categorically needy or could, in addition, extend Medicaid to aged, blind, or disabled individuals, or members of families with dependent children, who had too much income to be eligible for cash assistance but not enough for medical care. These individuals...
Page 1 - ... who have enough income to pay for their basic living expenses (and so are not recipients of welfare), but not enough to pay for their medical care.
Page 11 - Inpatient hospital care; 2. Outpatient hospital care and rural health clinic services; 3. Other laboratory and X-ray services; 4. Skilled nursing facility services and home health services for individuals 2l years of age and over; 5.
Page 1 - IV-A, the program of Aid to Families with Dependent Children (AFDC); or Title XVI, the Supplemental Security Income (SSI) program for the aged, blind, and disabled. In most cases, receipt of a welfare payment under one of these programs means automatic eligibility for Medicaid. In addition, States may provide Medicaid to the "medically needy...
Page 11 - States determine the scope of services offered (they may limit the days of hospital care or number of physicians visits covered, for example) and the reimbursement rate to providers for services rendered.
Page 1 - Medicaid operates as a vendor payment program. Payments are made directly to the provider of service for care rendered to an eligible individual. Providers must accept the Medicaid reimbursement level as payment in full.

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