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Medicaid overview of the program

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Medicaid is one of the major forms of government insurance programs in the United States.
An overview of the program
Purpose of the program
Who is eligible
Benefits of the program

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Solution Summary

The solution includes a description of the Medicaid program, its purpose, and who is eligible to receive the benefits of the program. It also discusses how it is regulated and financed.

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Medicaid is commonly known as health care coverage for the poor but not all poor people can have Medicaid. In fact, to receive Medicaid the individual must fit into an eligibility group that is recognized by federal and state law (Center for Medicaid and Medicare Services [CMS], 2010). Although Medicaid is a federal mandate program, each state runs its own Medicaid program establishing the eligibility criteria and covered services. Therefore a person can be eligible in one state but not in another one.

The State Medicaid agencies use the Federal Poverty Level Charts to establish the eligibility criteria. They can establish the limit of federal poverty at different levels. The first qualification is that the person must be a U.S. citizen or a lawfully admitted immigrant. The states have to include certain group of people that have mandated coverage by the federal government. Among them are:
"? Limited income families with children who meet certain of the eligibility requirements in the state's Aid to Families with Dependent Children (AFDC) plan in effect on July 16, 1996;
? Supplemental Security Income (SSI) recipients ...
? Infants born to Medicaid-eligible pregnant women (at least during the first year of life under certain ...

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