Medicaid Recovery Research Paper

Contact your county department of health or DSS to apply for Medicaid. You must fall into a certain financial classification in order to qualify for Medicaid. It may be in your best interest if your assets or income is greater than the allowable limits to work with an elder law attorney or eldercare financial planner in order to restructure your assets. If you are medically and financially eligible, you must go through the Managed Medicaid Long Term Care Program or Community First Choice to access the CDPAP program.

When it comes to a grantor’s assets and the need for Medicaid long-term care services, the Medicaid program has a five-year look back period. Being that a revocable trust can be cancelled at any time and the assets are still under the control of the grantor, to become eligible for Medicaid, the grantor must meet the income requirements as well as transfer any asset that put them over the requirement to another individual or entity. In addition, even though an individual does not have control of assets and an irrevocable trust cannot be cancelled, this rule applies for irrevocable trusts as well. The five-year look back period means that an individual is not eligible for Medicaid benefits if the asset transfer or gift is made within the five years of their application. Being that the need for long-term care services can often happen abruptly and

Medicaid, which is a separate federal funded insurance was intended to cover low-income, aged, blind, disabled individuals, parents, and their dependent children on welfare. However, the senior citizens are the population group most likely to be living in poverty, and only about half of these individuals have insurance coverage. The difference between 1965 and now, of course, is costs. Years ago spending more on health care in result covering more people were the whole point. The administration wants to broaden coverage, but cut spending.

Every state is required by the federal government to establish an estate recovery program. The purpose of the program is to recover payments made to nursing homes on behalf of Medicaid recipients. When a resident applies for Medicaid, they are informed of federal law mandating estate recovery actions and that payments made by Medicaid could be subject to estate recovery. Estate recovery can be made only after the death of both the patient and the patient’s spouse. After death, Medicaid will serve a notice to the family or heirs of the estate regarding the action to be taken by

Major amendments to the Social Security Act that were passed by Congress influenced the history of Medicaid. “The 1972 amendments created the Supplemental Security Income (SSI) program, which federalized existing State cash assistance programs for aged and disabled persons” (Klemm, 2000). According to the article “Medicaid Spending: A Brief History”, SSI recipients are almost always provided health insurance through Medicaid; this caused more aged and disabled individuals to enroll in the Medicaid program which influenced cost. As mentioned in class, individuals who received SSI but returned to work are protected groups and receive mandatory coverage through Medicaid.

Dual eligible beneficiaries are among the poorest and sickest of those covered by either Medicare or Medicaid and, subsequently, they account for a disproportionate share of spending in both programs. Yet unfortunately their care is disjointed, with little to no coordination. State and federal agencies, managed care organizations and advocates all agree that the misalignment between Medicare and Medicaid must be addressed. The varying rules, overlapping benefits and conflicting financial incentives between the two programs greatly affect the nearly 10 million beneficiaries nationwide who are dually eligible for both programs.

Throughout the early 1980’s and 1990’s the Federal Medicaid program was challenged by rapidly rising Medicaid program costs and an increasing number of uninsured population. One of the primary reasons for the overall increase in healthcare costs is the

In these services they would usually be offered help with activities of daily life, such as eating or bathing. Some home services also give them other benefits such as residential services, personal care or case management. To give more open details on experiences of Medicaid beneficiaries who need home and communities based services Musumeci and Reaves discuss nine seniors who are disabled and who live in different states. Those include people with different kind of disabilities which can be either developmental, physical or intellectual and issues such as autism, cerebral palsy, multiple sclerosis and their functional limitations that are there because they aged (Musumeci & Reaves, 2014). Based on interview that were given from these people to the Kaiser Commission in 2013 based on Medicaid and uninsured, these peoples’ profiles clearly show us how beneficiaries funds, well-being, status of their employment are affected by the coverage of Medicaid and the role these services play in their daily lives (Musumeci & Reaves, 2014). In the last years states are trying to work on rebalancing long-term care system by dedicating more spending to home and community care rather than institutional care. The reason is this being the efforts that are driven by beneficiaries who are

Medicaid is a medical assistance program for low-income Americans. It is funded partially by the federal government and partially by the state and local governments. The federal government requires that certain services be provided and sets specific eligibility requirements. Medicaid covers the following benefits required by the federal government; early and periodic screening, diagnosis, and treatment services, rural health clinic services, family planning services, SNF and home health services for persons over 21 years old, physicians’ services, laboratory and x-ray services, outpatient hospital care, and inpatient hospital care. Because Medicaid is also partially run by the state and local government individual states sometimes cover services

This includes individuals considered to be medically frail, American Indian/Alaska Natives, pregnant women, and dual eligible beneficiaries. Alternative Medicaid assistance is provided to those who fall under these categories (Medicaid Expansion in Arkansas, 2015).

For those in states not willing to expand Medicaid, then low-income adults will be denied assistance, in which higher-income adults receive (Healthcare.gov, 2017). When the Affordable Health Care Act (ACA) was established, Medicaid expansion provision was mandatory for those participating in Medicaid, basically included all states participation. For those individuals in households

Variability: First, Medicare is more or less the same in every state, but Medicaid rules vary widely state

Medicaid is often mistaken as insurance strictly for the poor. This is not the case as many middle income households rely on this insurance. For this reason the program will be

There are some problems that must be addressed in the expansion of the Medicaid policy to include; social, economic, ethical, legal and political. First, the social impact of having health insurance removes the burden off of parents, people with chronic diseases, children and the disabled. If access to health insurance is unavailable our nation’s health care costs will continue to rise,

Medicare and Medicaid are two of the United States largest broken systems, which must sustain themselves in order to provide care to their beneficiaries. Both Medicare and Medicaid are funding by a joint effort between the federal government and the local state government. If and when these governments choose to cut funding or reduce spending, Medicare and Medicaid take the biggest hit. Most people see these two benefits as one in the same, two benefits the government takes out of their pay check to help fund health care. While the government does deduct a sum from paychecks everywhere, Medicare and Medicaid are very two very different programs.