Your Source for Health Reform

Topic: Medicaid

Medicaid is a state-run program that provides medical coverage for low-income populations. Traditionally, families with children, pregnant women, children, seniors, and persons with disabilities have been eligible. The Affordable Care Act broadened eligibility to low-income adults without children in states that chose to implement the expansion.

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ACA’s Consequences for People with Disabilities

This February 2015 issue brief from Health & Disability Advocates explains how people with disabilities can experience gaps in coverage because of new application and eligibility requirements.

Presumptive Eligibility in Your Hospital

The Affordable Care Act allows some hospitals to enroll uninsured patients meeting basic eligibility criteria into Medicaid. Hospitals learn the steps to implement presumptive eligibility in this 2013 tool kit from Enroll America.

Income Rules for Medicaid and the Marketplace

This October 2014 question and answer sheet from the Center on Policy and Budget Priorities discusses the new income measure called MAGI. The measure determines eligibility for marketplace tax credits and Medicaid.

Responding to Medicaid Redeterminations

Illinois residents who receive Medicaid or All-Kids must complete a redetermination to continue their coverage. This June 2014 FAQ from the Illinois Department of Healthcare and Family Services outlines the redetermination process. The FAQ lists the hotline number to call with questions or problems.

Explaining New CHIP and Medicaid Eligibility

This January 2015 primer from the Georgetown University Center for Children and Families describes the new household size and income standards for Medicaid and CHIP enrollment.

Medicaid Applications and SSI Recipients

If you were approved for Supplemental Security Income and are applying to Medicaid, this fact sheet from The Arc of Illinois helps to break down the application process. It covers the ways you can apply for Medicaid after you have been approved for SSI, and includes links to other resources to make the process easier.

Advocating for Clients and Promoting Provider Networks in Medicaid Coordinated Care

This February 2013 presentation explains initiatives taking place in Illinois and offers key considerations regarding provider networks and client advocacy in the new delivery system. Presenters include representatives from from the Health Medicine Policy Research Group, Age Options, and Aetna Better Health of Illinois.

What Providers Need to Know about Care Coordination Entities

Care coordination entities work to form alternative models of delivering care to Medicaid clients through provider-organized networks, initially organized around the needs of Illinois’ most complex clients – seniors, and persons with disabilities, and children with complex medical needs. This 22-minute video of a webinar from the Illinois Department of Healthcare and Family Services was posted by Illinois Health Connect in December 2013.

Medicaid and Managed Care Toolkit

This collection of resources from the Make Medicare Work Coalition shares the ins and outs of Medicaid Care Coordination, including webinars, policy briefs, and fact sheets on the Integrated Care Program and the Medicare Medicaid Alignment Initiative.

Dual Eligibles with Developmental Disabilities

This August 2014 fact sheet from Family Voices of Illinois gives detailed answers on the Medicare-Medicaid Alignment Initiative for dual eligibles. The fact sheet describes how a person with disabilities would qualify for SSDI and explains what is different when the dual eligible has a developmental disability.

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