Medicaid is health care coverage for low-income people and working families who qualify. This includes families, children, and women who are pregnant. It also offers help to people who are blind, disabled or age 65 and over.
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.
...In order to qualify for Medicaid, you must meet both financial and non-financial criteria. People who receive Medicaid must fall in one of the many “categories” of Medicaid recipients that are allowed in Michigan. There are dozens of Medicaid categories, each of which has different rules related to income, assets, and other eligibility criteria. Because there are so many different rules, and because the same person may qualify under one category of Medicaid but not another, it is very important that DHS evaluate an application for Medicaid under as categories as possible before denying someone....."
To be on Medicaid, a person has to undergo at least three eligibility tests. First, a person has to be included in an eligibility category, such as being over age 65 or disabled. Second, a person must have income that is less than a specified level. Third, a person must have resources (assets) that are valued below a specified level. Other tests may also apply depending on the services that a person needs...."
With the continuing uncertainties in the state and national economies, it’s likely that you know someone who benefits from the Michigan Medicaid program. Maybe a friend, a neighbor or a family member....."
...In Michigan you may be eligible for Medicaid if you are an infant, a child, pregnant, the parent of a dependent child, medically needy, elderly, disabled, and your family income meets the Medicaid income standard..."
This primer provides an overview of the basic components of Medicaid, the nation's largest health coverage program, which covers nearly 60 million low-income individuals, including children and families, people with disabilities and seniors who are also covered by Medicare..."
The Michigan Medicaid Health Care Program is intended to provide medical and health-related assistance to low-income individuals and families who have no medical insurance or have inadequate medical insurance. Generally, the program serves: persons aged 65 or older; blind or permanently disabled persons; members of families with dependent children; children in foster care homes; pregnant women; and individuals under age 21 in psychiatric hospitals..."
"Map of DHS County Offices... Click on Map below for DHS County Office Information "
Explains important basics about Michigan Medicaid. Topics include protections for the community spouse, transfers, income, and estate recovery.."
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 poverty thresholds are the original version of the federal poverty measure... The poverty guidelines are the other version of the federal poverty measure.
...As of April, 2007, many applicants and recipients have had to produce specific documents to verify their identity and their U.S. citizenship. The Department of Human Services (DHS) has expanded the list of documents it will now accept as verification..."
"The DHS-1171 is a packet containing an application for assistance, an information booklet and a filing form. The entire assistance application must be completed in order to receive help from DHS. If you cannot finish the entire assistance application right away, you may complete the Filing Form and return it to the DHS office in your area to protect your application date. The date DHS receives your filing form or assistance application may affect the date your benefits start...."
"YOU CAN FIND OUT IN 30 MINUTES OR LESS IF YOU OR YOUR CHILDREN ARE ELIGIBLE FOR HEALTH CARE COVERAGE..."
"Joint Application: Medicaid & SCHIP; Yes..."
All Medicaid health plans are required to provide the services listed above. Some services are limited. Your doctor or health plan can tell you what Medicaid covers..."
"This handbook decribes how you get care under Medicaid when you are not in a health plan, and how ti get services not covered by a health plan..."
To learn the counties in which each of the following Medicaid Health Plans (MHP) operates. Choose a County Name to see the available Medicaid Health Plans in that county. Check back with this site frequently, as new services areas may be approved monthly...."
"Category Ratings for Michigan Medicaid Health Plans"
"MI Medicaid Health Plan Information
Most people who get Medicaid must join a Health Plan... Health Plans provide Medicaid-covered health care services for an enrolled group of beneficiaries in a defined service area . After your Medicaid case is opened, Michigan ENROLLS* will contact you about your Health Plan choices..."
... MIChild is a health insurance program. It is for uninsured children of Michigan’s working families. MIChild services are provided by many HMOs and other health care plans throughout Michigan...."
Health Kids is a program for pregnant women, babies and children under 19. It covers women during pregnancy and the first two months after pregnancy ends. Babies may be eligible for up to one year after birth. Children may be covered up to age 19. ..."
Healthy Kids Medicaid is a state-wide program to provide health care insurance for low-income families and individuals. This includes pregnant women, babies, and children under the age of 19..."
How does Medicaid help children in Michigan? Children make up 58% of Michigan’s Medicaid population, but are of very low cost, accounting for only 20% of the state’s Medicaid spending. In general, Michigan children who are in families of four with incomes below $30,000 are eligible for Medicaid.**..."
Individual state profiles..."
Eligibility Criteria... Benefits... Participants... Spending ..."
Michigan has many health care programs available to children, families, and adults who meet certain eligibility requirements. The goal of these health care programs is to ensure that essential health care services are made available to those who otherwise would not have the financial resources to purchase them...."
...This is a general listing of Medicaid covered services that are available when medically necessary and furnished by enrolled providers. Some services are only for certain age groups or may require prior approval..."
Medicaid benefits: Online database"
This report describes the legislative process behind and content of Michigan's Pharmaceutical Product List (MPPL), a selection of preferred drugs available to be prescribed in the Medicaid program with little restriction. Providers would be required to obtain prior authorization from the state to prescribe any drug not included on the MPPL..."
As of July 2003, 1,344,019 people were covered under Michigan's Medicaid/SCHIP programs. 1,310,254 of these were financed by the traditional Medicaid program, 33,764 enrolled in the separate SCHIP program, and 0 were financed by a Medicaid/SCHIP 1115 waiver program. In state fiscal year 2000, Michigan spent $3.02 billion to provide Medicaid services...."
"Regular dental visits — examinations, cleanings, fluoride treatments, dental sealants, and fillings — are important to keep teeth healthy... If your child has Healthy Kids or MIChild health coverage, these services will be paid for. Call your local health department if you need help getting an appointment with a dentist..."
"An assessment of the first 12 months... In 2000, Michigan’s Medicaid dental program initiated Healthy Kids Dental, or HKD, a demonstration program offering dental coverage to Medicaid enrolled children in selected counties... "
"The Guide is intended to serve as a resource of current information on clinical practice, evolving technologies and recommendations in dental care. The guide is not intended to change current Medicaid policies, nor is it intended to impose any new requirements on states..."
Dental services under Title XIX of the Social Security Act, the Medicaid program, are an optional service for the adult population, individuals age 21 and older. However, dental services are a required service for most Medicaid-eligible individuals under the age of 21, as a required component of the Early and Periodic Screening, Diagnostic and Treatment (EPSDT) benefit..."
As a resident of a Medicaid nursing home, you have the same rights about your life, medical care, and personal treatment as others who live in your community. These rights are protected by rules made by both the state and federal government. As a Medicaid beneficiary, you have the right to the same quality of medical care as other nursing home residents."
...While this pamphlet focuses on Medicaid qualification for nursing home care, the same financial eligibility rules apply for the Medicaid Home and Community-Based Waiver, which provides services and supports to enable people who need extensive care to remain in their own homes...."
...Medicaid funded nursing home residents whose doctors certify they are likely to remain in the nursing home six months or less can apply for a “Special Director” or “Olmstead” Exception to permit them to divert income to pay necessary expenses to maintain their home rather than using their income for their patient pay obligation to the nursing home...."
...This brochure offers information on the Medicaid programs that provide long-term care services and requirements for eligibility..."
Medicaid will cover the cost of some types of long-term care, but to qualify one must meet Medicaid's strict income and asset eligibility requirements. Medicaid was designed as a resource for individuals who could not otherwise pay for their own medical needs. It was not designed to act as a national long-term care financing tool."
These are Michigan Nursing Homes in cities A - Z."
...a consumer's guide to Michigan Medicare Certified Home Health Care Agencies ..."
The Michigan Medicare Medicaid Assistance Program (MMAP) provides free health benefit counseling services to those aged 65 and older, those who are Medicare beneficiaries due to disability, and their families. MMAP's provides timely, objective and accurate information and support to Michigan beneficiaries so that they can make informed decisions about their health care."
TYou may qualify for help to pay your Medicare expenses if you are elderly or disabled with low income and limited assets... You may see your monthly Social Security payment increase if Medicaid begins paying your Medicare premiums..."
Individuals who are entitled to Medicare Part A and/or Part B and are eligible for some form of Medicaid benefit are often referred to as “dual eligibles.” These benefits are sometimes referred to as Medicare Savings Programs (MSPs). Dual eligibles are eligible for some form of Medicaid benefit, whether that Medicaid coverage is limited to certain costs, such as Medicare premiums, or the full benefits covered under the State Medicaid plan..."
Nearly 8.8 million Medicaid beneficiaries are “dual eligibles” – low-income seniors and younger persons with disabilities who are enrolled in both the Medicare and Medicaid programs. Dual eligibles are among the sickest and poorest individuals covered by either the Medicaid or Medicare programs..."
"MI Choice is a statewide program designed to give older adults and people with disabilities more choices in receiving long term supports. It provides a variety of services in a person’s home that are similar to those provided in a nursing home. MI Choice is also known as the Medicaid Waiver for the Elderly and Disabled...."
"The following is a list of all Michigan 1915(c) Waivers by name - complete with a description, contact information and web link..."
...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..."
...In 1978, the Office of Attorney General created a Medicaid Fraud Control Unit, and it was certified by the Federal government the same year. In 1986, it became the Health Care Fraud Division of the Attorney General's office..."
...Medicaid fraud occurs in many ways. The recipient of medical services should remember..."
"(800) 24-ABUSE [800-242-2873] "
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