5 QUESTIONS

5 Questions

Medicaid

Introduction

Medicaid is the United States health program for eligible individuals and families with low incomes and resources. It is a means tested which is financed jointly by the state and federal governments, and is administered by the states. Among the groups of people who are served by Medicaid certain eligible U.S. citizens and foreign residents, including low-income adults and their children and people with certain disabilities. Poverty does not necessarily an individual entitlement to Medicaid. Medicaid is the largest source of funding for medical and health services for people with low incomes in the United States. Due to the aging of World War II / Korean generation, the fastest growing aspect of Medicaid nursing home coverage. As the baby boomer generation ages nursing home began in 2020 to 2040, is the aspect of the Medicaid nursing home boom, which concerns the budgets of federal and state governments.

Medicaid was on 30 July 1965 created by Title XIX of the Social Security Act. Each state administers its own Medicaid program while the federal Centers for Medicare and Medicaid Services (CMS) monitors the state programs and establishes requirements for the provision of services, quality, funding and eligibility standards.

Some states have their own name for Medicaid. Examples "are Medi-Cal" in California, "MassHealth" in Massachusetts, "Oregon Health Plan in Oregon," TennCare "in Tennessee and the Department of Children and Families in Florida. States can work together to pool the administration of Medicaid with other programs such as the State Children's Health Insurance Program (SCHIP) so that the same organization that handles Medicaid in one state may also manage the additional programs. Separate programs may also in some places there are to be financed by Member States or their political subdivisions health insurance for the poor and minors.

State participation in Medicaid is voluntary, but all states have participated since 1982, when his Arizona Arizona Health Care Cost Containment System (AHCCCS) program formed. Some states assign Medicaid to private insurance, whereas other states pay providers (i.e. doctors, clinics and hospitals) directly.

Some states have the use of private companies taken over parts of their Medicaid administrative services. These programs, which generally continues to Medicaid managed care, so that private insurance companies or health maintenance organizations to contract directly with a state Medicaid department for a fixed amount per enrollee. The health plans will enroll eligible persons in their programs and the responsibility for ensuring Medicaid benefits to eligible beneficiaries delivered.

Also included in the Social Security Medicaid program includes dental services. These dental services are an optional service for adults over the age of 21 years, but this service is a prerequisite for the entitlement to Medicaid and under the age of 21 years. Minimum services, pain relief, restoration of teeth and maintenance include dental health. Early and periodic screening, diagnosis and treatment (EPSDT) is a mandatory Medicaid program for children, which will focus on prevention early detection and treatment of diseases. Oral Screenings are not required for EPSDT recipients and they are not, as a ...