Medicaid Case Study

This is a follow-up email in reference to the email received for Medicaid validation with no award letter attached. The agent information was not provided, such as a writing number, party ID, national producer number or social security to properly research request. Please resend the email with the award letter for review of Medicaid to 866-802-6062 or icssupport@uhc.com by

The federal part of Medicaid is known as the federal medical assistance percentage (FMAP) (Hegar). The FMAP annually reviews comparison of average state and U.S. per capita income. This means in Texas the federal government pays 60 percent of every dollar spent on Medicaid services (Hegar).

I chose to compare and contrast Ohio and Michigan State Medicaid. Medicaid is a state and federally funded entitlement program that pays for medical services to qualified low-income Michigan residents. It is one of the largest programs at the state level, providing services to over one million Michigan residents annually. All of the health care programs in Michigan have an income test and some of the programs also have an asset test. These income and asset tests may vary with each program. For some of the programs, the applicant may have income that is over the income limit and still be able to obtain health care benefits when their medical expenses equal or exceed their deductible (formerly known as spend-down) amount. Below are two examples of Michigan Medicaid plans that are available.

Medicaid is a government healthcare program that is designed to provide financial assistance to low-income individuals and families. Even though this program is useful because it makes it easier for people who are living on a low income to get medical care. However, this program is often abused.

With slight similarities, federal matching grants were provided by Medicaid to finance medical cost for the low income who were on welfare, disable, and elderly (Rowland, Summer 2015). At first, Medicaid was initially for the welfare population but was extended to be used by other low-come individuals that needed health insurance for medical care (Rowland, Summer 2015). Throughout the years, Medicaid has grown with an array of services it provides and with its population of those utilizing it and has extended to provide coverage to low-income individuals, the permanently disable, and those in need of Long Term Care (Rowland, Summer 2015).

Medicaid is an assistance program. IT serves low-income people of every age. Patients usually pay no part of costs for covered medical expenses. A small co-payment is sometimes required. Medicaid is a federal-state program. It varies from state to state. IT is run by state and local governments within federal guidelines. (HHS.gov, 2014).

Medicaid is a joi8nt federal and state program. It provides health coverage to nearly 60 million Americans including children, pregnant women, seniors, and individuals with disabilities. As well as those people who are eligible to receive federally assisted income. Eligibility does however vary state to state.

As per the law United States legal citizen whose income is 133 percent lesser than the poverty line can be enrolled for Medicaid. Operated by state government but Medicaid is funded jointly by state and federal governments. Funding to Medicaid is by federal government called as Federal Medical Assistance Percentage is calculated based on state per capita income and typically varies between 50 to 75 %. But the Obama care act provides Medicaid expansion through which federal government will pay 100 % of Medicaid costs during 2014, 2015, 2016 but 95 % of costs during 2017, 94% during 2018, 93% during 2019 and 90 %during 2020. Not essentially all states accept this Medicaid expansion program, typically states ruled by democrats implement this expansion but states ruled by republicans deny the expansion. As per study health reform monitory survey4, those states who accepted Medicaid expansion has uninsured rate of only 7.3% but in not accepted states have uninsured rates of 14.1% which constitutes half of nations uninsured population.

Medicaid is a health, safety net program that was enacted to provide health care coverage to qualifying members of the

Coverage and benefits vary from state to state because federal government funds Medicaid and set minimum requirements which allows states to intact their own benefits. Centers for Medicaid and Medicare services (CMS) of the Bureau of Health and Human Services (DHHS) is responsible for the federal aspects of Medicaid. Medicaid has two standards of Medicaid programs which is categorically for needy individuals which include cash recipients of the Temporary Assistance to needy families (TANF) and related groups of cash recipients of the Supplemental Security Income (SSI) program and other qualified needy individuals and

Medicaid is the U.S. government’s health insurance program, that furnishes health care coverage to more than 74.7 million eligible adults and children in the country ("Medicaid Enrollees," 2017), with over $553.4 billion reported total health care spending for the fiscal year of 2016 ("Medicaid Spending," 2016). As the number of eligible Medicaid enrollees grows, the amount of health care spending is presumed to accelerate. The 2016-2025 National Health Expenditure Projections showed a 5.6% per year increase in the United States’ national health expenses and a per capita growth of 4.7% per year. However, compared to 2015’s 9.7% Medicaid spending, the projected drop of 6.1% on 2016 is primarily due to the earlier year’s large influx of

Medicaid insurance covers approximately 60 million Americans, according to their income. Medicaid is larger than any other single private health insurance program. The criteria for participating

In United States there are a lot of programs which help people to deal with different kind of issues and one of them is Medi-Cal or in other terms also used as Medicaid, which is one of the most essential and necessary for us to know about. It is important and beneficial to people of all ages and can help people during their hard times when they need help the most. Medi-Cal program is counted as a health insurance program which is there to provide services for those individual who aren’t earning enough money to support their families, for seniors, for disabled people and people who are with low-income and who are suffering from diseases such as HIV, tuberculosis, or breast cancer (Health Care Services, 2015). It has been and still is a great

Medicaid helps about 42 million people who are poor and who need health care services to attain healthy growth and development areas or encounter special health care needs. The Medicaid program covers low-income individuals who meet its eligibility standards, such as children, pregnant women, certain low-income parents, disabled adults, federal Supplemental Security Income recipients (low-income children and adults with severe disability), and the medically needy (non-poor individuals with unusual medical expenditures who meet spend-down requirements for long-term care). There is a good deal of changeability across states in the maximum income for eligibility. Medicaid is administered and financed jointly by the federal government and the states,

Medicaid is for low income: pregnant women, children under the age of 19, people 65 and over, people who