Medicaid


Medicaid is a government program operated by the U. S. Government in association with the individual states. The state and federal government share the costs of the Medicaid program. Medicaid services in Florida are administered by the Agency for Health Care Administration.The service allows for health care to be provided to those people and their dependents with low incomes or otherwise outstanding circumstances. The program pays for health services directly to the provider rather than give money to the beneficiaries. Each state in the U. S. has its own rules and methods of operating Medicaid, such as income and asset quotas and certain circumstances.

Applying for Medicaid requires different overseeing bodies depending on the state where you apply for the benefits. For example, in Florida, Medicaid is overseen by the Florida Department of Children and Families in association with the Social Security Administration. Via this body, Medicaid benefits are usually restricted to
  • Low income families with children or dependents
  • Children only
  • Pregnant women
  • Non-citizens with medical emergencies
  • Aged and/or disabled individuals not currently receiving Supplemental Security Income (SSI)

In the State of New York, for example, Medicaid eligibility can also be determined by those and other factors such as high medical bills.

Medicaid benefits may vary from state to state, but they may often include services for
  • Ambulance Services
  • Ambulatory Surgical Services
  • Dental Services
  • Dialysis
  • Durable Medical Equipment Services
  • Family Planning Services
  • Health Check
  • Inpatient and Outpatient Hospital Services
  • Intermediate Care for the Mentally Retarded Facility Services
  • Laboratory and Radiological Services
  • Medicare Crossovers
  • Medicaid Managed Care Programs
  • Mental Health Clinic Services
  • Non-Emergency Transportation Services
  • Nurse Midwifery
  • Nurse Practitioner
  • Nursing Facility
  • Oral Surgery
  • Orthotic and Prosthetic Services
  • Pharmacy Services
  • Physician Services
  • Podiatric Services
  • Pre-Admission Screening/Annual Resident Review
  • Pregnancy-Related Services
  • Psychological Services
  • Swing Bed Services
  • Targeted Case Management Services
    • Adults with AIDS
    • Chronically Mentally Ill
    • Early Intervention
    • Perinatal
    • Therapeutic Residential Intervention
  • Vision Care
  • Mental Retardation
  • Traumatic Brain Injury


Applying for Medicaid
Medicaid can be applied for via the Internet (e.g. ACCESS Florida), at hospitals, at clinics, or at social services offices such as those run by the Florida Department of Children and Families (DCF).

Requirements and considerations for receiving Medicaid benefits may include:
  • Limited income
  • Family size
  • Medical neediness (pregnant, chronically ill, disabled, blind, etc.)
  • Age limits
  • Benefits from other government programs (TANF, WIC, food stamps, etc.)
However, requirements can vary from state to state, so it is best advised to check with your local health department representative.

For Individuals in Florida who are not eligible for full Medicaid because their income is over the Medicaid program limits, can qualify for the Medically Needy program. Individuals enrolled in Medically Needy must have a certain amount of medical bills each month before Medicaid can be approved.

Statistics:
In 2005, medicaid provides health insurance to approximately 50 million people in America, including 41 percent of people in poverty. Those people have full-time jobs but can't seem to rise out of proverty. Ten million of them are Latino.



Applications:
In Missouri and other states; they are suffering from fragmentation in the health care industry. In Missouri, information about a patient's current health status was not available to providers at the time of care. Most patient data were stored in paper form. The lack of information led to incomplete treatment protocols. The state, like other states, decided to use new technology to improve the delivery of health care information to providers. They decided on developing a suite of Electronic Health Record Applications which will provide actionable information to empower Missouri providers. EHRs will prevent any error made so that a patient's information, like what type of insurance they have and if insurance can cover certain treatments, will be in the system.



Web Resources:
Florida Department of Children and Families
Medicaid at the New York Department of Health
Georgia Department of Community Health


See Also
Medicare
Social Security Administration
Supplemental Security Income


Citations/References:
Florida Department of Children and Families
Medicaid, New York Department of Health
Centers for Medicare and Medicaid Services
http://www.dems.gov/
http://www.thefreelibrary.com/


Graphic:
external image medicaidSample.jpg