If you fall into a low income group, you may very well qualify for Medicaid. People who donat have medical insurance or who have inadequate medical insurance may qualify. The guidelines for Medicaid are established by the Federal Government and administered by each state individually. For this reason, your eligibility will be determined by your State Agency, and that is who you must contact.
KEY ELIGIBILITY GROUPS Every state provides service to the members of particular, established eligibility groups. A state may also decide it wants to include additional groups for service with Medicaid. There are some groups that the state is required to consider. They are: Categorically needy, medically need, and special groups. Letas explore the criteria that defines the required key eligibility groups that must be included in a Statesa plan. You wonat find all the answers here. To know more, be sure to contact your State Agency.
CATEGORICALLY NEEDY
1. Families who meet statesa Aid to Families with Dependent Children (AFDC) eligibility requirements in effect on July 16, 1996.
2. Pregnant women and children under age 6 whose family income is at or below 133 % of the Federal poverty level.
3. Children ages 6 to 19 with family income up to 100% of the Federal poverty level.
4. Individuals and couples who are living in medical institutions and who have monthly income up to 300% of the SSI income standard (Federal benefit rate).
MEDICALLY NEEDY Children who are under the age range of nineteen to twenty one and also children who are under nineteen and are registered as full time students might be able to qualify for this category. A state can decide not to qualify this complete group of children. When this is the case, the state limits services to certain portions of the group. This is termed areasonable groups of childrena. Medically needy people may also be those who are past age sixty five. People who are blind according to the SSI program standards or the standards of the state may qualify. People with disabilities (defined by the SSI program standards or the standards of the state) might be included within this category.
SPECIAL GROUPS
1. Medicare Beneficiariesa#8221;Medicaid pays Medicare premiums, deductibles and coinsurance for Qualified Medicare Beneficiaries (QMB)a#8221;individuals whose income is at or below 100% of the Federal poverty level and whose resources are at or below twice the standard allowed under SSI. There are additional groups for whom Medicare related expenses are paid by Medicaida#8221;Medicare beneficiaries with income greater than 100% but less than 135% of the Federal poverty level.
When your eligibility has been determined, it may be possible for you to receive retroactive payments for up to three months prior to the time your application was filed. This determination will be based upon whether or not you could have been eligible during those three months. Naturally, if your circumstances improve and you become ineligible, your coverage will cease at the end of the month during which the improvement happened. A lot of states have a astate-onlya program in that supplements Medicaid. This program is especially designed to provide medical assistance to people who fall through the cracks. These are the people who have limited resources and income but canat qualify for the Medicaid program. This sort of state-only program does not get any Federal funding.
Mainly, the people who are eligible for getting Medicaid are people with low income levels or families with low household income as stated in the rules and eligibility requirements set by the state you are a resident in. You need to meet these requirements in order to qualify for the Medicaid insurance coverage.
Be sure to contact your state to find out about its laws before you apply for Medicaid. In that way, you will know what the requirements are in advance. If you want to know more, you can visit: http://www.cms.hhs.gov/medicaid/eligibility or http://www.cms.hhs.gov/medicaid/whoiseligible.asp).
KEY ELIGIBILITY GROUPS Every state provides service to the members of particular, established eligibility groups. A state may also decide it wants to include additional groups for service with Medicaid. There are some groups that the state is required to consider. They are: Categorically needy, medically need, and special groups. Letas explore the criteria that defines the required key eligibility groups that must be included in a Statesa plan. You wonat find all the answers here. To know more, be sure to contact your State Agency.
CATEGORICALLY NEEDY
1. Families who meet statesa Aid to Families with Dependent Children (AFDC) eligibility requirements in effect on July 16, 1996.
2. Pregnant women and children under age 6 whose family income is at or below 133 % of the Federal poverty level.
3. Children ages 6 to 19 with family income up to 100% of the Federal poverty level.
4. Individuals and couples who are living in medical institutions and who have monthly income up to 300% of the SSI income standard (Federal benefit rate).
MEDICALLY NEEDY Children who are under the age range of nineteen to twenty one and also children who are under nineteen and are registered as full time students might be able to qualify for this category. A state can decide not to qualify this complete group of children. When this is the case, the state limits services to certain portions of the group. This is termed areasonable groups of childrena. Medically needy people may also be those who are past age sixty five. People who are blind according to the SSI program standards or the standards of the state may qualify. People with disabilities (defined by the SSI program standards or the standards of the state) might be included within this category.
SPECIAL GROUPS
1. Medicare Beneficiariesa#8221;Medicaid pays Medicare premiums, deductibles and coinsurance for Qualified Medicare Beneficiaries (QMB)a#8221;individuals whose income is at or below 100% of the Federal poverty level and whose resources are at or below twice the standard allowed under SSI. There are additional groups for whom Medicare related expenses are paid by Medicaida#8221;Medicare beneficiaries with income greater than 100% but less than 135% of the Federal poverty level.
When your eligibility has been determined, it may be possible for you to receive retroactive payments for up to three months prior to the time your application was filed. This determination will be based upon whether or not you could have been eligible during those three months. Naturally, if your circumstances improve and you become ineligible, your coverage will cease at the end of the month during which the improvement happened. A lot of states have a astate-onlya program in that supplements Medicaid. This program is especially designed to provide medical assistance to people who fall through the cracks. These are the people who have limited resources and income but canat qualify for the Medicaid program. This sort of state-only program does not get any Federal funding.
Mainly, the people who are eligible for getting Medicaid are people with low income levels or families with low household income as stated in the rules and eligibility requirements set by the state you are a resident in. You need to meet these requirements in order to qualify for the Medicaid insurance coverage.
Be sure to contact your state to find out about its laws before you apply for Medicaid. In that way, you will know what the requirements are in advance. If you want to know more, you can visit: http://www.cms.hhs.gov/medicaid/eligibility or http://www.cms.hhs.gov/medicaid/whoiseligible.asp).
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