Owning your own business. Rental housing costs. Agricultural losses. None of the above. Above average income Moderate income Low income Very low income. Hereditary blood disorder. Drug or alcohol dependency. Limb function or length differences.
Limb loss. Mental illness. Spina Bifida not including spina bifida occulta. End-stage renal disease e. Given birth during the last six months. Breastfeeding an infant. Pre-diabetes or at risk for type 2 diabetes. Child with ADHD. None of the Above. Child ren. What do I do next? Didn't find what you were looking for? Take our Benefit Finder questionnaire to view a list of benefits you may be eligible to receive. Start Benefit Finder. Was this page helpful?
Yes No. Federal Government USA. What help is available through Medicaid? Medicaid provides free or low-cost medical benefits to eligible: Adults with a low income Children Pregnant women People who are age 65 or over People with disabilities Am I eligible for Medicaid? In general, it depends on at least one or a combination of: Age Income level Number of people in your family If you are pregnant or have a disability How do I apply for Medicaid?
There are two ways to apply for Medicaid: Contact your state Medicaid agency. Is my child eligible for CHIP? Share This Page:. Do you have a question? Talk to a live USA. Medicaid coverage of low-income pregnant women and children has contributed to dramatic declines in infant and child mortality in the U.
A growing body of research indicates that Medicaid eligibility during childhood is associated with reduced teen mortality , improved long-run educational attainment , reduced disability , and lower rates of hospitalization and emergency department visits in later life.
Benefits also include second-order fiscal effects such as increased tax collections due to higher earnings in adulthood. Research findings show that state Medicaid expansions to adults are associated with increased access to care, improved self-reported health, and reduced mortality among adults. Figure 7: Nationally, Medicaid is comparable to private insurance for access to care — the uninsured fare far less well. Gaps in access to certain providers, especially psychiatrists , some specialists, and dentists, are ongoing challenges in Medicaid and often in the health system more broadly due to overall provider shortages, and geographic maldistribution of health care providers.
However, low Medicaid payment rates have long been associated with lower physician participation in Medicaid, especially among specialists. Managed care plans, which now serve most Medicaid beneficiaries, are responsible under their contracts with states for ensuring adequate provider networks. There is no evidence that physician participation in Medicaid is declining. In a survey, 4 in 10 primary care providers who accepted Medicaid reported seeing an increased number of Medicaid patients since January , when the coverage expansions in the ACA took full effect.
Medicaid covers people who are struggling with opioid addiction and enhances state capacity to provide access to early interventions and treatment services. The Medicaid expansion, with enhanced federal funding, has provided states with additional resources to cover many adults with addictions who were previously excluded from the program.
Medicaid covers 4 in 10 nonelderly adults with opioid addiction. Medicaid is financed jointly by the federal government and states. The federal government matches state Medicaid spending. The guaranteed availability of federal Medicaid matching funds eases budgetary pressures on states during recessionary periods when enrollment rises. Federal matching rates do not automatically adjust to economic shifts but Congress has twice raised them temporarily during downturns to strengthen support for states.
Medicaid is the third-largest domestic program in the federal budget, after Social Security and Medicare, accounting for 9.
In , Medicaid was the second-largest item in state budgets, after elementary and secondary education Figure 8. Figure 8: Medicaid is a budget item and a revenue item in state budgets.
Federal Medicaid matching funds are the largest source of federal revenue Accounting for state and federal funds, Medicaid accounts for Because Medicaid plays a large role in state budgets, states have an interest in cost containment and program integrity. Enrollment and spending increased significantly following implementation of the ACA, but have moderated in more recent years. While slower caseload growth helped to mitigate Medicaid spending growth in FYs and , higher costs for prescription drugs, long-term services and supports and behavioral health services, and policy decisions to implement targeted provider rate increases were cited as factors putting upward pressures on Medicaid spending.
Seniors and people with disabilities make up 1 in 4 beneficiaries but account for almost two-thirds of Medicaid spending, reflecting high per enrollee costs for both acute and long-term care Figure 9. Medicaid is the primary payer for institutional and community-based long-term services and support — as there is limited coverage under Medicare and few affordable options in the private insurance market.
Over half of Medicaid spending is attributable to the highest-cost five percent of enrollees. However, on a per-enrollee basis, Medicaid is low-cost compared to private insurance, largely due to lower Medicaid payment rates for providers.
Medicaid spending per enrollee has also been growing more slowly than private insurance premiums and other health spending benchmarks.
Figure 9: Medicaid per enrollee spending is significantly greater for the elderly and individuals with disabilities compared to children and adults. Public opinion polling suggests that Medicaid has broad support.
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