Medicaid

Introduction

Health insurance for the poor.

Joint Federal & State program that provides supplemental health insurance to low income persons of all ages with limited savings.

41 million people (10% elderly)

$160 billion (27% to elderly)

covers long-term care (after spend-down)

benefits vary state by state

Expenditures: 68% nursing homes 17% hospitals 3% physicians 12% other

Most Medicaid programs pay part Medicare part B premiums

Some pay Mdicare deductables & co-insurance costs

Medicaid covers long-term care, including skilled nursing facility copayment for days 21-100 after qualifying hospitalization

Medicaid considers domestic partners as unmarried, thus his/her assets are not included as resources of the partner (GRS9)

Tamper-resistant prescriptions required for Medicaid patients Oct 2008.

One tamper resistant feature from each category required for all Medicaid prescriptions. Starting Apr 2008, at least one feature required.

• Copy-resistant
• Unalterable
• Counterfeit-resistant.

Notes

• Medicaid increases emergency department use
• expanding Medcaid under the Affordable Care Act reduces number of uninsured 14% & improves healthcare access
• state Medicaid services offer long-term in home care assistance if patient meets criteria
• for in-home services, family members caring for Medicaid recipents may be eligible for the Medicaid self-direction program

Additional terms

• Medicaid self-direction program