Medicaid Book

Financial Eligibility OverviewFinancial Eligibility Overview

Financial Eligibility Overview

Categorical and medical eligibility is covered in Chapter 2. Here we begin an aerial fly-over of financial eligibility. In this…

3 years ago
Medical EligibilityMedical Eligibility

Medical Eligibility

Only those persons with a medical need are eligible for Medicaid and not all persons needing help receive Medicaid. In…

3 years ago
More on State of ResidenceMore on State of Residence

More on State of Residence

With few exceptions (such as the existence of an interstate compact), a Medicaid applicant must be a resident of the…

3 years ago
More on CitizenshipMore on Citizenship

More on Citizenship

An applicant must be a U.S. Citizen or a legally admitted alien to receive Medicaid. 42 CFR § 435.406. In…

3 years ago
Categorical EligibilityCategorical Eligibility

Categorical Eligibility

In addition, to establish technical eligibility for nursing home Medicaid, an applicant must be (i) a U.S. Citizen or lawfully…

3 years ago
Aged, Blind or DisabledAged, Blind or Disabled

Aged, Blind or Disabled

Individuals who are aged (age 65 or older), blind or disabled may be entitled to Medicaid if they are medically…

3 years ago
Long-Term Care Delivery SystemLong-Term Care Delivery System

Long-Term Care Delivery System

The remainder of this book focuses on long-term care Medicaid. Long-term care refers to a wide range of supportive and…

3 years ago
Poverty-related group for the aged and disabledPoverty-related group for the aged and disabled

Poverty-related group for the aged and disabled

The enactment of the Omnibus Budget Reconciliation Act of 1986 (OBRA 86) offered States an option for covering persons whose…

3 years ago
Recipients of State Supplemental Payment (SSP) benefitsRecipients of State Supplemental Payment (SSP) benefits

Recipients of State Supplemental Payment (SSP) benefits

Many States provide SSP benefits with State-only dollars on a monthly basis. These payments are intended to cover such items…

3 years ago
Medicaid and Persons who qualify for Supplemental Security Income (SSI)Medicaid and Persons who qualify for Supplemental Security Income (SSI)

Medicaid and Persons who qualify for Supplemental Security Income (SSI)

With one important exception, States are required to provide Medicaid coverage to recipients of SSI. SSI, authorized under Title XVI…

3 years ago