This brief examines Medicaid’s medically needy program, which gives states the option to extend Medicaid eligibility to those with high medical expenses whose income exceeds the maximum threshold, but who would otherwise qualify. It provides updated enrollment and spending figures on the medically needy using data through federal fiscal year…
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Medicare is a critical source of health insurance coverage for virtually all older women in the U.S. and for many younger women who have permanent disabilities. Because women have longer life expectancies than men, more than half (57%) of the people covered by the program are women. In 1999, there…
This policy brief explains the Medicaid's program's relationship to the elderly and provides information on beneficiaries and expenditures. Also discussed is Medicaid coverage of long-term care and nursing home care for the elderly.Policy Brief Policy Brief
This policy brief reviews Medicaid's role as the nation's primary source of coverage for long-term care services and examines the implications of recent legislative efforts to restructure the Medicaid program for those in need of care in nursing homes, intermediate-care facilities for the mentally retarded, and home- and community-based settings.Policy…
Medicaid Long-Term Services and Supports: Key Considerations for Successful Transitions from Fee-For-Service to Capitated Managed Care Programs
Although relatively few Medicaid beneficiaries are in capitated managed long-term services and supports (LTSS) programs, significant expansion is anticipated as more than half of states are implementing or proposing new programs that would include a transition from fee-for-service (FFS) to capitated managed care in the LTSS delivery system. By definition,…
This fact sheet, Medicare’s Role for Older Women, discusses the characteristics of female Medicare beneficiaries, their health care needs, the structure of Medicare including cost-sharing requirements, and anticipated changes due to health reform.
This issue brief details the various eligibility pathways by which individuals with disabilities and the elderly can qualify for Medicaid coverage. The program, which serves as a safety net for many of the nation’s poorest and sickest individuals, provides health coverage to nearly 60 million Americans, including 8.5 million with…
Tennessee’s Money Follows the Person Demonstration: Supporting Rebalancing in a Managed Long-Term Services and Supports Model
Tennessee’s Money Follows the Person (MFP) demonstration, implemented within the context of Tennessee’s pre-existing capitated Medicaid managed care delivery system, is an integral component of the state’s Medicaid long-term services and supports rebalancing efforts. This case study describes key features of Tennessee’s MFP demonstration and highlights recent program experiences.
Maryland’s Money Follows the Person Demonstration: Support Transitions Through Enhanced Services and Technology
Maryland’s Money Follows the Person (MFP) demonstration continues to lead the state’s Medicaid long-term services and supports rebalancing efforts. This case study describes key features of Maryland’s MFP demonstration and highlights recent program experiences.