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  2. Medicaid - Wikipedia

    en.wikipedia.org/wiki/Medicaid

    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 ...

  3. Program of All-Inclusive Care for the Elderly - Wikipedia

    en.wikipedia.org/wiki/Program_of_All-Inclusive...

    The first replication sites received Medicare and Medicaid waivers. [3] 1994. The National PACE Association (NPA) was formed. [3] 1997. The Balanced Budget Act of 1997 (P.L. 105–33, Section 4801-4804) established PACE as a permanent part of the Medicare program and an option under state Medicaid programs. [2] 2005-2006

  4. Medicaid coverage gap - Wikipedia

    en.wikipedia.org/wiki/Medicaid_coverage_gap

    [12] [13] Softening the eligibility requirements for Medicaid was a central goal of the ACA, [14] forming a two-pronged policy along with subsidized private insurance via health insurance marketplaces to expand health insurance coverage in the U.S. [15] [7] [3] The Medicaid expansion provision of the ACA allowed states to lower the income ...

  5. Centers for Medicare & Medicaid Services - Wikipedia

    en.wikipedia.org/wiki/Centers_for_Medicare...

    The Centers for Medicare & Medicaid Services (CMS) is a federal agency within the United States Department of Health and Human Services (HHS) that administers the Medicare program and works in partnership with state governments to administer Medicaid, the Children's Health Insurance Program (CHIP), and health insurance portability standards.

  6. Federal Medical Assistance Percentages - Wikipedia

    en.wikipedia.org/wiki/Federal_Medical_Assistance...

    Within Medicaid, the FMAP can vary. For example, the FMAP for administrative activities is between 50 and 100%. [5] For provider payments, certain populations, programs, and services have enhanced FMAPs, such as the Children's Health Insurance Program, individuals enrolled in Medicaid Expansion, and certain women with breast or cervical cancer. [6]

  7. American Health Care Act of 2017 - Wikipedia

    en.wikipedia.org/wiki/American_Health_Care_Act...

    Medicaid is the U.S. program for low-income children, adults, seniors and people with disabilities, covering one in five Americans. It is the primary payer of nursing home care. The ACA (current law) expanded Medicaid eligibility; 31 states and the District of Columbia implemented the expansion. [38]

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  9. Health insurance marketplace - Wikipedia

    en.wikipedia.org/wiki/Health_insurance_marketplace

    In participating states, Medicaid eligibility is expanded; all individuals with income up to 133% of the poverty line qualify for coverage, including adults without dependent children. [43] [50] The law also provides for a 5% "income disregard", making the effective income eligibility limit 138% of the poverty line. [51]

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