Medicaid

Centers for Medicare & Medicaid Services News

Recent news and events from the U.S. Department of Health and Human Services Centers for Medicare & Medicaid Services.
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Centers for Medicare & Medicaid Services Regional Offices

Contacts for beneficiaries, health care providers, state and local governments as well as the general public on questions relating to Medicare or Medicaid.
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Children with Severe Chronic Conditions on Medicaid

Provides analysis of Medicaid expenditures for children receiving Supplemental Security Income (SSI) benefits.

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Citizenship Guidelines for Medicaid Eligibility

Final rule on citizenship for Medicaid eligibility expands the types of documentation that can be used to establish citizenship and exempts certain groups from the requirements.
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Consumer-Directed Models of Personal Care: Lessons from Medicaid

Compares and contrasts alternative approaches to administering programs, financed under the Medicaid personal care services optional benefit, that make attendant services available to low-income elderly and disabled persons in need of help with daily living tasks.

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Coordination of Care for Persons with Disabilities Enrolled in Medicaid Managed Care

Presents a conceptual framework to guide the development of measures of care coordination that would be both feasible to apply and meaningful in assessing the performance of Medicaid managed care organizations (MCOs) that enroll people with disabilities.

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Early & Periodic Screening & Diagnostic Treatment Benefit (EPSDT)

Information about benefits which provide for comprehensive and preventive health screening for individuals under the age of 21, including those with intellectual and developmental disabilities.
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Early & Periodic Screening, Diagnosis & Treatment (EPSDT) Program Information

The EPSDT program is designed to meet the physical, mental health and developmental needs of children living in low-income families.
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Frequently Asked Questions about Medicaid & Medicare

Answers to commonly-asked questions from the Centers for Medicare and Medicaid Services.

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Guide to Understanding Healthcare Reform for People with Disabilities

The United Spinal Association and the National Spinal Cord Injury Association have issued a guide on healthcare and insurance reforms that explains how they improve the lives of people with disabilities. The Impact of Health Care Reform on People with Disabilities has information about insurance market reforms; mandatory health plan coverage provisions; home- and community-based services; Medicare outpatient therapy caps and Medicaid eligibility requirements; and the new standards that ensure medical equipment in doctors' offices and other medical facilities are accessible. For more information on this subject read Health Reform for Americans with Disabilities in PDF format.

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How Does Work Affect My Medicare and/or Medicaid?

Information on how working may impact you if you receive Medicare or Medicaid.
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Keeping Medicaid Coverage While Working - Section 1619(b)

After you return to work, your Medicaid coverage can continue, even if your earnings become too high for an SSI cash payment. However, there are several conditions that have to be met to keep Medicaid coverage after going back to work.
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Letter from Centers for Medicare & Medicaid Services (CMS) to State Medicaid Directors on Community Living Initiative

Letter from CMS Director Cindy Mann describing efforts to implement solutions that address barriers to community living for individuals with disabilities and older Americans. This link opens a PDF document.
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Medicaid Information on Real Choice Grant Program

Designed to help states and others build an infrastructure that will result in improvements of services and long-term support systems that enable individuals of all ages to live in a community setting suited to their needs, to have meaningful choices about their living arrangements and to exercise more control over the services they receive.
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Medicaid Information on State Waiver & Demonstration Programs

Information on Medicaid waiver programs and demonstrations that impact the elderly and people with disabilities.

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Medicaid Part II: Prior Approval of Assistive Technology, Fair Hearings & Court Appeals

Newsletter of the Assistive Technology Advocacy Project discusses Medicaid as a funding source for assistive technology or what Medicaid typically calls durable medical equipment.
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Medicaid for People with Cognitive Disabilities

Click on a state from the map on this Web site's home page for specific information regarding Medicaid eligibility for people with cognitive disabilities.
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Medicaid, Assistive Technology & the Courts

Summarizes landmark court decisions from 1996-2003 regarding funding of Durable Medical Equipment and assistive technology.
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National Center for Benefits Outreach & Enrollment

Helps organizations enroll seniors and younger adults with disabilities with limited means into the benefits programs for which they are eligible so that they can remain healthy and improve the quality of their lives.
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National Direct Service Workforce (DSW) Resource Center

Supports efforts to improve recruitment and retention of direct service workers who help people with disabilities and older adults to live independently and with dignity.
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Navigating Medicare & Medicaid: Resource Guides for People with Disabilities, Their Families & Their Advocates

Guides developed by the Kaiser Family Foundation explain the role of Medicare and Medicaid for the roughly 20 million children, adults and seniors with disabilities.

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Social Security Administration's Medicaid Information

Information on Medicaid from the Social Security Administration's Office of Employment Support Programs.
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Summary of Coverage Provisions in the Patient Protection & Affordable Care Act and the Health Care & Education Reconciliation Act of 2010

This fact sheet from the Kaiser Family Foundation explains some of the main health coverage provisions of the recently signed health care legislation. Changes include the fact that most individuals will be required to have health insurance beginning in 2014; Individuals who do not have access to affordable employer coverage will be able to purchase coverage through a Health Insurance Exchange, Health insurers will not be allowed to deny coverage to people for any reason, including health status; and Medicaid will be expanded to 133% of the federal poverty level for all individuals under age 65. This eliminates a limitation in the program that prohibits most adults without dependent children from enrolling in Medicaid. This link opens a PDF document.

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Support for Caregivers in Health Care Reform

Learn about the CLASS Act, the Community First Choice Option and other provisions of the health reform legislation that will help family caregivers and their loved ones.
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The Case for Inclusion--An Analysis of Medicaid for Americans with Intellectual & Developmental Disabilities

Report to help advocates and policymakers understand how their state performs in serving individuals with intellectual and developmental disabilities and their acute and long term care service needs. This link opens a PDF document.
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Understanding Medicaid Home & Community Services: A Primer

Designed to encourage use of the Medicaid program in a manner that minimizes reliance on institutions and maximizes community integration in a cost-effective manner.

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What is the Difference Between Medicare & Medicaid?

Medicare is an insurance program that serves people over 65 regardless of their income, younger people with disabilities and dialysis patients. Medicaid is a medical assistance program. Under Medicaid medical bills are paid from federal, state and local tax funds. This program serves low-income people of every age.
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