Medicaid and Affordable Care Act
Medicaid Application Process
Medicaid Coverage - Mandatory
Medicaid Coverage - Optional
Medicaid Dental Coverage
Medicaid Nursing Home
Medicaid & Health Care Reform
State Medicaid Programs
State Medicaid Programs List
Published:Fri, 25 Oct 2013 08:58:30 -0700
WASHINGTON, Oct. 25 (UPI) -- Officials say a spike in Medicaid enrollment may threaten the entire healthcare system if more healthy people don't sign up for private healthcare......
Published:Fri, 25 Oct 2013 09:10:57 -0700
Officials say a spike in Medicaid enrollment may threaten the entire healthcare system if more healthy people don't sign up for private healthcare plans.......
Published:Wed, 23 Oct 2013 09:45:34 -0700
By Mary Wisniewski (Reuters) - Six Ohio Republican lawmakers have filed a lawsuit to challenge Governor John Kasich's plan to expand Medicaid coverage for the poor under Presi......
Published:Wed, 23 Oct 2013 07:07:00 -0700
Core administrative expenses of selected Medicaid plans grew by 2.7% per member per month . This increase was sharply lower than last year and resumes a multi-year trend of modest......
Published:Thu, 24 Oct 2013 11:50:20 -0700
Despite glitches of its own with long forms and delayed queries, Colorado Medicaid has a boom of applications for its half of the Affordable Care Act launch receiving troubled rev......
Michigan Medicaid Program
The Medicaid program in Michigan is a combined federal and State health care program for the residents of Michigan. The Michigan Department of Human Services (MDHS) determines the eligibility for some of the health care programs. The Michigan Department of Community Health (MDCH) administers the Michigan Medicaid program.
There are many different Medicaid programs that are available to assist Michigan residents that need help with medical services. In order to receive Medicaid, you must meet certain low-income requirements. Different Medicaid programs cover different groups of eligible individuals. The groups include children, families, pregnant women, older individuals, and people with disabilities.
The following groups of individuals may be eligibile to be covered by these Michigan Medicaid programs:
Medicaid programs for Children:
Healthy Kids - This is a Medicaid health care program for low-income children under the age of 19. To qualify, you must be meet the low-income standard. There is no monthly premium. Healthy Kids provides coverage for health care, dental, mental health and vision.
MIChild - This health care program is for low-income uninsured children of working families in Michigan. There is a higher income level for MIChild than for Healthy Kids. There is a $10 monthl premium per family which covers all the kids in the family. Coverage is for children under the age of 19. Children receive health care, dental, vision, and mental health services.
Children's Special Health Care Services (CSHCS) -This program provides certain approved medical coverage to some children and adults with special health care needs. Children must be under the age of 21 and have a medical condition that qualifies them for coverage. For adults with cystic fibrosis and certain blood coagulating disorders may also qualify for medical coverage.
Under 21 - This particular program is for people under the age of 21. You have to meet low-income standards and a limit on your assets. If your income is over the limit, you will be assigned a deductible. You may get medical expenses that equal or exceed the deductible and still qualify for the program. Your health care benefits include dental, vision, and mental health services.
Supplemental Security Income (SSI) - This is a cash benefit for disabled children of families with low-income. The Social Security Administration (SSA) determines your SSI eligibility. If you receive SSI, you are automatically eligible for Medicaid coverage. If your SSI quits, your Medicaid coverage may continue.
Special Disabled Children - Medicaid is available to children that got SSI benefits on August 22, 1996, as long as the child meets current SSI income and resource limits and met the definition fo childlhood disability prior to 1996, when the revised definition was accepted.
Medicaid Programs for Pregnant Women
Healthy Kids for Pregnant Women - This Medicaid program is availabe to eligible women that are pregnant, including the month your pregnancy ends and for two months following. Comprehensive health care package of Medicaid benefits is included and there is a low-income limit.
Group 2 Pregnant Women - This is for women that have an income that exceeds the limit for Healthy Kids for Pregnant Women. If your income is over the limit, you are assigned a deductible. You may have medical expenses that equal or exceed the deductible and still be eligible for this program.
Maternity Outpatient Medical Services (MOMS) - This program was created to provide immediate health care for outpatient prenatal coverage only. The MOMS program provides immediate prenatal care while your Medicaid application is being reviewed.
Other women who may be eligible for MOMS include:
- Teens who, because of confidentiality concerns, choose not to apply for Medicaid.
- Non-citizens who are only eligible for emergency services only.
You must use Medicaid benefits if and when they become available. Prenatal health care services will be covered by MOMS and/or Medicaid for the entire pregnancy and for two months after the pregnancy ends. Except for teenagers, there is an low-income limit.
Medicaid Programs for Adults
Caretaker Relatives - Medicaid is available to eligible parents and people who act as parents, caring for a dependent child. These individuals are called caretaker relatives. To qualify, there is a low-income and asset limit. If your income exceeds the income limit, you may incur medical expenses that equal or exceed the deductible and still qualify you for this Medicaid program. If you qualify, you will get a comprehensive package of health care benefits which includes dental, vision, and mental health services.
Supplemental Security Income (SSI) - This is a cash benefit for low-income adults that are aged, disabled, or blind (ADB). The Social Security Administration (SSA) determines your eligibilty for SSI. If you currently receive SSI, you are automatically eligiblef ro Medicaid and the health care benefits that include dental, vision, and mental health services. If your SSI stops, you still may be eligibile for Medicaid.
Medicaid Program for the Aged, Blind, Disabled - Medicaid is available to persons who are aged, blind, or disabled (ABD). To be eligible, you must meeet low-income and asset standards. If your income is over the income limit, you may incur medical expenses that equal or exceed the deductible and still qualify for this program. You will be enrolled in a Medicaid health plan that includes health carae benefits that include dental, vision, and mental health services.
Disabled Adult Children (DAC) - If you had a disability or blindness that began before the age of 22, you may be eligible to get Medicaid benefits as an adult. You must also be receiving DAC benefits from Social Security. You will be enrolled in a Medicaid health plan that provides health care benefits including dental, vision, and mental health services.
MIChoice - This Michigan waiver program provides home and community-based health care for aged and disabled persons. The goal is to allow you to stay at home and get health services. If you didn't get these services, you would require nursing home care. The cost of home care must be less than the cost of nursing home care. You are not enrolled in a Medicaid health plan, but you do receive health care benefits that include dental, vision, and mental health services. Also, the Medicaid waiver may provide additional benefits to help you stay at home.
Medicare Savings Program (MSP) - The Medicare Savings Program pays for certain Medicare costs. There is an asset test. The income amount determines what is covered. The Michigan Department of Community Health (MDCH) may help pay the following, depending on the income amounts:
- Medicare premiums
- Medicare coinsurance
- Medicare deductible
In some cases, the Michigan Department of Community Health (MDCH) may refund the beneficiary a portion of the Medicare Part B premium on an annual basis. Contact the local MDHS office in your county to apply for this program.
Adult Benefits Waiver (ABW) also known as the Adult Medical Program (AMP) - ABW/AMP provides basic medical care to low income childless adults who do not qualify for Medicaid. There are asset and income tests. ABW/AMP medical coverage is limited (e.g., inpatient coverage is not covered). However, pharmacy is included. Some counties have a county health plan that the person must be enrolled in to receive ABW/AMP benefits. Some services may require prior authorization from the county health plan or state (if there is no health plan in the county of residence). Contact the local MDHS office in your county to apply for this program.
Medicaid Programs for Families: In Some case, your entire family may be eligible for health care benefits:
Low Income Families (LIF) - Medicaid is available to families under the Low Income Family (LIF) Program. There are income and asset tests. Families that receive cash assistance (Family Independence Program or FIP) are automatically eligible for this program. Other families must apply at the local MDHS office. Families don't have to apply for FIP in order to receive health care coverage under this program. Most beneficiaries are enrolled in a Medicaid health plan and receive a comprehensive package of health care benefits including vision, dental, and mental health services.
Special N Support - Special N Support is available to families that received Low Income Families (LIF) Medicaid or cash assistance (FIP) but are no longer eligible due to income from child support payments. Special N Support is available for 4 months. Most beneficiaries are enrolled in a Medicaid health plan and receive a comprehensive package of health care benefits including vision, dental, and mental health services. Your Family Independence specialist will let you know if you qualify for this program.
Transitional Medical Assistance (TMA) - TMA is available to families that have received LIF or cash assistance (FIP) in at least 3 of the last 6 months. The family is no longer LIF/FIP eligible because a parent has too much income from employment. TMA is available for up to 12 months and the family does not need to fill out a new application. Most beneficiaries are enrolled in a Medicaid health plan and receive a comprehensive package of health care benefits including vision, dental, and mental health services. Your Family Independence Specialist at the Department of Human Services will let you know if you qualify for this program.
Transitional Medical Assistance Plus (TMA-Plus) - TMA-Plus assists beneficiaries in achieving self-sufficiency by extending medical coverage for families unable to purchase employer-sponsored health care coverage. TMA-Plus is available to adults after the 12 months of TMA. The family must apply and be eligible for the TMA-Plus program. There is only an income limit. There are monthly premiums based on the number of adults and how long they have been in the TMA-Plus program. TMA-Plus is not available for children. The DHS specialist will tell you about health care coverage for the children in the family. If available, the beneficiaries must be enrolled in a Medicaid health plan. Beneficiaries receive a comprehensive package of health care benefits including vision, dental, and mental health services. Your DHS specialist will let you know if you qualify for this program.
Michigan Medicaid Application
If you are a resident of Michigan, you can download, print, and submit this application for Medicaid at http://www.michigan.gov/documents/dhs/DHS_Information_Booklet_and_Assistance_Application_242170_7.pdf
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