"Medicaid provides medical and long-term care coverage to low income Maryland citizens
.. Medicaid covers three main groups
.. Children and pregnant women
.. The elderly
.. Persons with disabilities
.. The Maryland Children’s Health Program (MCHP) provides health coverage to children in families with incomes below 200% of poverty (a monthly family premium is required for families between 200% and 300%); pregnant women with incomes up to 250% of poverty are covered under Medicaid..."
Expanding coverage through the Healthy Maryland Initiative is a sound investment. During 2004-2005, 778,220 Marylanders were uninsured—137,340 of them were children. Covering kids and parents through Medicaid will improve the health and productivity of Marylanders, help bring insurance costs under control, and stimulate Maryland’s economy..."
A unique combination of bold innovation and strong regulatory involvement characterizes health care policy in Maryland. The state has used Medicaid rather than a separate state-designed program to pursue coverage expansions, including the recent Children’s Health Insurance Program (CHIP), and has been aggressive in enrolling beneficiaries under capitated managed care. Maryland’s group insurance market reforms were compliant with the Health Insurance Portability and Accountability Act of 1996 (HIPAA)...
T...This paper addresses the home and community services system for older people and younger adults with physical disabilities in Maryland, focusing on the state administrative structure, eligibility and assessment, services covered by Medicaid and other programs, cost containment, and quality assurance. This report also summarizes government officials’ and key stakeholders’ opinions about how well the Medicaid and state-funded programs serving the aged and disabled work...."
Medicaid, also called Medical Assistance, is a program that pays the medical bills of certain needy and low-income individuals. It is administered by the state and pays medical bills with Federal and state funds... You can have private health insurance and be eligible for Medicaid. The rules are different for different groups and the kinds of medical care covered are different for different groups..."
"The following general list of eligibility groups is intended to familiarize you with the types of coverage available from Medical Assistance (Medicaid) and Maryland’s other Medical Care Programs. To find out if you are eligible for Medical Assistance or other public assistance, please apply at your Local Department of Social Services (LDSS). If you are applying for assistance for a child or are pregnant, you may apply for the Maryland Children’s Health Program (MCHP) at your Local Health Department (LHD)..."
"Medicaid coverage is automatically granted to individuals receiving other public assistance, including Supplemental Security Income (SSI), Temporary Cash Assistance (TCA), and Foster Care..."
Many groups of people are covered by Medicaid. Even within these groups, though, certain requirements must be met. These may include your age, whether you are pregnant, disabled, blind, or aged; your income and resources (like bank accounts, real property, or other items that can be sold for cash); and whether you are a U.S. citizen or a lawfully admitted immigrant. The rules for counting your income and resources vary from state to state and from group to group. There are special rules for those who live in nursing homes and for disabled children living at home.
...The Maryland Department of Health and Mental Hygiene advises individuals who are currently enrolled or who are planning to apply to begin collecting the required documents now..."
"...If you do not get SSI or TCA payments, you must file an application to find out if you are eligible for Medicaid. To do this, you must go to the Department of Social Services in the city or county where you live. You will be asked to complete and sign an application form and will be interviewed by an eligibility worker..."
"...To apply for Medicaid assistance, Maryland residents visit their county or city department of social services. There, they are interviewed and submit an application..."
"...You must file an application to find out if you are eligible for Medicaid. To do this, go to The Local Department of Social Services (LDSS) in the city or county where you live. If you are applying for a child or a pregnant woman, you may apply at your Local Health Department..."
"...To apply for Medical Assistance for Families: . Submit an application to your local Montgomery County Department of Health and Human Services by mail, fax, or online.
. Apply online at Service Access and Information Link (SAIL)
. Print out a Medical Assistance application.
. Call 1 (800) 456-8900 to have an application sent to you.
. Call your local Area Agency on Aging for a QMB/SLMB application...."
"...Directory of Local Department's of Social Services"
"If you have any questions, call the Maryland Medicaid Hotline at 410-767-5800 (Baltimore area) or 1-800-492-5231."
"...HealthChoice is the name of the Maryland’s statewide mandatory managed care program which began in 1997. The HealthChoice Program provides health care to most Medicaid recipients..."
"In Maryland’s HealthChoice program health care services are provided through managed health care organizations, called MCOs. You need to choose an MCO now. Use this chart to help pick your MCO. If you do not decide in time, the state will choose one for you. Don’t lose your chance to pick your MCO...."
"To Find a Doctor, Hospital, or Other Healthcare Provider ...."
...The Maryland Children’s Health Program (MCHP) began in July 1998. MCHP uses federal and state funds to provide health care coverage to low-income children up to age 19 and pregnant women of any age..."
...The Maryland Children’s Health Program (MCHP) is a federal/state program that gives full health benefits for children up to age 19, and pregnant women of any age who meet the income guidelines..."
...The Maryland Children's Health Program (MCHP) gives full health benefits for children up to age 19, and pregnant women of any age who meet the income guidelines. MCHP enrollees obtain care from a variety of Managed Care Organizations (MCOs) through the Maryland HealthChoice Program..."
"General information about children’s health coverage... - State-based resources, including possible enrollment partners - Steps for enrolling a child in coverage program - Follow-up flyer for parents - Health resources, by county, for children who are not eligible for coverage...
Maryland Children’s Health Insurance Program provides free and low-cost health coverage. If you are a family of four with income of ..."
Do children in Maryland’s CHIP program receive the same comprehensive benefits as children in Medicaid? Yes. Maryland is one of 13 states (plus the District of Columbia) that has used CHIP funding to cover all children eligible for CHIP and Medicaid under one program. As a result, children in CHIP in these states receive the same comprehensive health and mental health coverage (through the Early and Periodic Screening Diagnostic and Treatment (EPSDT) benefit) that all children in Medicaid receive..."
How does Medicaid help children in Maryland? Children make up 55% of Maryland’s Medicaid population, but are of very low cost, accounting for only 25% of the state’s Medicaid spending. In general, Maryland children who are in families of four with incomes below $40,000 are eligible for Medicaid.*"
...The two major federal funding sources for low-income children’s public health insurance are Medicaid and the State Children’s Health Insurance Program (SCHIP). States enjoy some flexibility in their Medicaid programs for children,..."
Most family plans are funded through Medicaid, but a handful of states have waivers to use State Children’s Health Insurance Program (SCHIP) funds to cover parents. ..."
Research suggests that, on average, families need an income of about twice the federal poverty level to meet their most basic needs. Children living in families with incomes below this level—$40,000 for a family of four in 2006—are referred to as low income..."
Individual state profiles..."
Medicaid ensures that women in Maryland have access to a comprehensive set of important health care services. . Medicaid programs are required to provide certain health services to some covered populations —including family planning services, inpatient and outpatient hospital care, and pregnancy-related care—..."
Medicaid benefits: Online database"
As of July 2003, 638,662 people were covered under Maryland's Medicaid/SCHIP programs. There were 525,080 enrolled in the Medicaid program, 107,109 enrolled in the Medicaid SCHIP expansion program and 6,473 in the separate SCHIP program. In state fiscal year 2003, Maryland spent about $ 4.2 billion to provide Medicaid and SCHIP services...."
"The Maryland Medicaid Pharmacy Program (MPP) Provides services for the following programs: Medical Assistance... HealthChoice... Primary Adult Care (PAC)... Family Planning... Medicare Part D...."
Maryland Healthy Smiles Dental Program is Maryland’s Medicaid Dental Program. This program is for children, pregnant women, and adults in the Rare and Expensive Case Management (REM) Program. The program is here to help you and your child stay healthy...."
Despite a sluggish economy, lawmakers voted to include millions of dollars in the FY 2009 budget to expand dental care for low-income children, mostly by increasing Medicaid reimbursement rates, expanding the dental care workforce by granting new powers to dental hygienists, and creating a "single vendor."..."
"...hand-held guide available that outlines your state’s (Maryland) public and private health care choices for individuals and groups in almost every demographic profile, as well as offers a reference list of phone numbers and Web sites..."
" In these economic times, some Marylanders are losing their jobs, and as a result, their health insurance coverage. Here are some options that you may want to consider if you lose your health insurance coverage..."
"In Maryland, there are two basic types of discount plans available: Discount Medical Plans and Discount Drug Plans. These plans may be structured to look like insurance, but they are not insurance and don’t pay any of your health care costs. Instead, discount plans give plan members access to a group of providers of health care services and supplies on a discounted basis..."
" A state health insurance plan that provides coverage to Maryland residents who are unable to obtain health insurance due to a health condition or have recently lost group coverage. Plan options..."
"If you are having trouble finding individual health insurance, the State of Maryland offers coverage when other health plans will not. But before jumping in, get the facts..."
"Federally-funded health centers care for you, even if you have no health insurance. You pay what you can afford, based on your income. Health centers provide •checkups when you're well •treatment when you're sick •complete care when you're pregnant •immunizations and checkups for your children •dental care and prescription drugs for your family •mental health and substance abuse care if you need it..."
"Maryland Federally-Supported Health Centers, 2008"
If you need affordable health care, a Community Health Center may be what you're looking for... Click here to find the health center closest to your address or to see a list of health centers in your state or county/parish..."
...In Maryland, as in many other states, your health insurance options are somewhat dependent on your health status. Even if you are sick, however the laws protect you in the following ways....."
The purpose of the Medicaid Waiver for Older Adults is to enable individuals who are aged 50 and over who require long-term care services to remain in a community setting even though their advanced age or disability would warrant placement in a long term care facility. The Waiver allows services that are typically covered by Medicaid only in a nursing facility, to be provided to eligible persons in their own homes or in assisted living facilities..."
This fact sheet is designed to provide more information regarding property liens and estate recovery, which is addressed on the Medicaid application under Rights and Responsibilities..."
These are Maryland Nursing Homes in cities A - Z." In addition to the state directory described above, there are nursing home directories for principal Maryland cities. An examples:
A consumer's guide to information and help about assisted living in Maryland, with a directory of assisted living facilities..."
A consumer's guide to information and help about Home Health Care services in Maryland, with a directory of home health care agencies..."
"The four basic types of 1915(c) HCBS waivers available for states based on the target population’s level of alternative long-term institutional care are:
--intermediate care facility-mental retardation (ICF-MR) level of care for mentally retarded and/or developmentally disabled individuals;
--chronic or rehabilitative hospital level of care for individuals who are medically fragile, chronically ill, or severely disabled;
--psychiatric hospital level of care for individuals who are severely or chronically mentally ill; and
--nursing facility level of care for individuals who are elderly, physically disabled, and/or cognitively impaired..."
"In-home services available are: Personal Care, Respite, Environmental Assessments & Modifications, Behavior Consultation Services, Personal Emergency Response Systems, Home Delivered Meals, Diet and Nutritional Services, Family and Consumer Training, Non-emergency medical transportation and Senior Center Plus Services..."
...This list contains information about state-specific Medicaid waiver and demonstration programs. Users can access fact sheets, copies of proposals, approval letters, and other documents related to specific programs..."
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