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Medicaid:
Government and Other Resources
 

Government Resources:

  • Brief Summaries of Medicare & Medicaid  (CMS.gov)
    The following are brief summaries of complex subjects. They should be used only as overviews and general guides to the Medicare and Medicaid programs. The views expressed herein do not necessarily reflect the policies or legal positions of the Centers for Medicare & Medicaid Services (CMS) or the Department of Health and Human Services (HHS). These summaries do not render any legal, accounting, or other professional advice, nor are they intended to explain fully all of the provisions or exclusions of the relevant laws, regulations, and rulings of the Medicare and Medicaid programs. Original sources of authority should be researched and utilized.
  • Centers for Medicare & Medicaid Services (CMS – U.S. Dept. of Health & Human Services)
    Federal agency that administers Medicaid and Medicare programs.   
     
  • CMS Publishes the Medicaid RAC Final Rule (October 2011)
    In light of governmental efforts aimed at cutting federal agency waste, the Centers for Medicare & Medicaid Services (CMS) published the Final Rule regarding the Medicaid Recovery Audit Contractor (RAC) program on September 16, 2011. Since the Medicaid RAC program is projected to recover $2.1 billion over the next five years, it is crucial that radiology providers are familiar with the Final Rule and take steps now to prepare themselves in the event that they are subjected to such an audit in the future

  • CMS Updates Medicaid Hospice Fact Sheets and Brochures (April 2016)
    The Centers for Medicare & Medicaid Services (CMS) recently updated its Medicaid Hospice resources. The fact sheets and brochures are intended as educational tools for recipients, providers, and other stakeholders about Medicaid hospice benefits including fraud detection and reporting.

  • Cokie Roberts Answers Your Questions About Medicaid (7/19/17)
    A controversial part of the Republican health care plan involved cutting Medicaid funding. Commentator Cokie Roberts answers listener questions about Medicaid.     

  • Home & Community Based Services (medicaid.gov)
    Home and community based services (HCBS) provide opportunities for Medicaid beneficiaries to receive services in their own home or community rather than institutions or other isolated settings. These programs serve a variety of targeted populations groups, such as people with intellectual or developmental disabilities, physical disabilities, and/or mental illnesses. 

  • Medicaid Eligibility in Michigan: 40 Ways (Center for Healthcare Research & Transformation) 
    In Michigan, there are no fewer than 40 different ways to qualify for Medicaid or other government-supported medical assistance.

  • Submit documents to confirm denial of Medicaid or CHIP coverage 
    If you get a notice from the Marketplace saying that you need to submit documents to confirm that you were denied coverage through Medicaid or the Children’s Health Insurance Program (CHIP) in the past 60 days, you can upload or mail the Marketplace documents at least one person who was denied. If more than one person on your application was recently denied coverage through Medicaid or CHIP, you only need to submit documents for one of these people.
     

Other Resources re: Medicaid:

  • Resources on Duel-Eligible Beneficiaries (Kaiser Foundation) 
    About 9 million people in the United States are covered by both Medicare and Medicaid, including low-income seniors and younger people with disabilities. These dual eligible beneficiaries have complex and often costly health care needs, and have been the focus of many recent initiatives and proposals to improve the coordination of their care aimed at both raising the quality of their care while reducing its costs. These resources examine the dual eligible population, their health care needs and spending, and ongoing efforts to coordinate care across the two programs.

  • Home and Community Based Waiver Programs from A to Z (Dudek & Howlett)
    Information regarding medicaid's waiver program.