Eligibility Policy | Medicaid
Medicaid eligibility for individuals 65 and older or who have blindness or a disability is generally determined using the income methodologies of the SSI program administered by the Social Security Administration (some states, known as 209(b) states, use certain more restrictive eligibility criteria than SSI, but still largely apply SSI ...
Medicaid.gov: The Official U.S. Government Site for Medicaid and …
The Medicaid continuous enrollment condition, authorized by the Families First Coronavirus Response Act, ended on March 31, 2023. Find resources related to returning to normal operations and restarting full Medicaid and CHIP eligibility renewals.
Who’s eligible for Medicaid? - HHS.gov
Dec 8, 2022 · Eligibility rules differ among states. In all states, Medicaid gives health coverage to some individuals and families, including children, parents, people who are pregnant, elderly people with certain incomes, and people with disabilities. Some states have expanded their Medicaid programs to cover other adults below a certain income level.
State Profiles | Medicaid
Every state’s Medicaid and CHIP program is changing and improving – most states are expanding coverage for low-income adults; all states are modernizing their Medicaid/CHIP eligibility, enrollment and renewal processes and systems, and taking advantage of many of the new flexibilities provided by the Affordable Care Act.
Medicaid | Medicaid
Medicaid provides health coverage to millions of Americans, including eligible low-income adults, children, pregnant women, elderly adults and people with disabilities. Medicaid is administered by states, according to federal requirements.
Seniors & Medicare and Medicaid Enrollees
Medicaid provides health coverage to 7.2 million low-income seniors who are also enrolled in Medicare. Medicaid also provides coverage to 4.8 million people with disabilities who are enrolled in Medicare. In total, 12 million people are "dually eligible" and enrolled in both Medicaid and Medicare, composing more than 15% of all Medicaid enrollees.
United States Virgin Islands | Medicaid
The Medicaid program in the United States Virgin Islands differs from Medicaid programs operating in each of the 50 states and the District of Columbia in three important ways. The United States Virgin Islands Medicaid delivery system is a subset of the larger public government healthcare delivery system for most of the island’s population.
Estate Recovery | Medicaid
State Medicaid programs must recover certain Medicaid benefits paid on behalf of a Medicaid enrollee. For individuals age 55 or older, states are required to seek recovery of payments from the individual's estate for nursing facility services, home and community-based services, and related hospital and prescription drug services.
Medicaid and CHIP Eligibility Operations and Enrollment Snapshot
Nov 8, 2024 · Monthly and annual data show a national and state-level picture of Medicaid and CHIP eligibility and enrollment operations, as well as Marketplace and Basic Health Program enrollment. CMS will release an expanded version of this report quarterly that will include additional data on separate CHIP program enrollment and updated eligibility ...
Enrollment Strategies | Medicaid
Effective January 1, 2024, states are required to provide 12 months of continuous eligibility (CE) for children under the age of 19 in Medicaid and the Children’s Health Insurance Program (CHIP). Section 5112 of the Consolidated Appropriations Act, 2023 (CAA, 2023) amended titles 1902(e)(12) and 2107(e)(1) of the Social Security Act to add ...