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In the United States, Medicaid is a government program that provides health insurance for adults and children with limited income and resources. The program is partially funded and primarily managed by state governments, which also have wide latitude in determining eligibility and benefits, but the federal government sets baseline standards for state Medicaid programs and provides a ...
According to the Centers for Medicare & Medicaid Services, U.S. adults ages 65 and over each spent $22,356 on personal health expenses in 2020. That’s almost 2.5 times higher than expenses for ...
Medicare has several options to help pay for hospital stays, doctor visits, and prescription medication. Medicaid is a state-run, income-based program that can help older adults pay for medical costs.
Medicare and Medicaid can both be great resources for helping seniors get the health services they need. If you need assisted living, these may not be the best way to pay for your care.
For Medicaid benefits, beneficiaries generally enroll in their state's Medicaid FFS program or a Medicaid managed care plan administered by an MCO under contract with the state. Recently, Congress and CMS have placed greater emphasis on the coordination and integration of Medicare and Medicaid benefits for dual-eligible beneficiaries.
Under an HCBS waiver, states can use Medicaid funds to provide a broad array of non-medical services (excluding room and board) not otherwise covered by Medicaid, if those services allow recipients to receive care in community and residential settings as an alternative to institutionalization.
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