Working with Medicaid Checkpoint

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Date Submitted: 01/29/2012 09:01 PM

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In order to be eligible for Medicaid to this day, there is a process. After requesting an application, the application needs to be returned to the office, along with proof of income, assets, and any other relevant proof of eligibility. Medicaid coverage generally stops at the end of the month in which a person no longer meets the eligibility criteria. States may provide twelve months of continuous Medicaid coverage for eligible children under the age of nineteen.

A Medicaid patient can be billed for different types of Medicaid. There are different rules regarding what services are covered. Managed-care is a Medicaid program that requires prior authorization for new, non-emergency services. Adult Medicaid is a program that may or may not provide dental coverage, while Medicaid for children must provide some amount of dental coverage.

 Duplication could be an implication of simultaneous federal and state involvement in the insurance process. Also you have to look at possible supervision in some areas as one area may think the other area has something covered, when in reality they do not. As federal and state policies change the basic structure of the Medicaid program. Competitive forces continue to influence the availability, affordability, and benefits provided by private insurance, state-level data is needed to answer basic questions about how the low-income population is coping in terms of insurance coverage and access to care. Five survey states were selected to include examples of innovative expansions of Medicaid to low-income people, maintenance of a more traditional eligibility standard, and variations in the pace of managed care administration.