Medicaid

CMS to Rate Nursing Home Quality with New Five-Star System

The Centers for Medicare & Medicaid Services (CMS) has announced that it will soon launch a ground-breaking ranking system of America's nursing homes, giving each a star rating. CMS is requesting comments on the system designed to provide patients and their families an easy to understand assessment of nursing home quality, making meaningful distinctions between high performing and low performing homes.
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Centers for Medicare & Medicaid (CMS) Ticket to Work & Work Incentives Improvement Act of 1999 Information

Information for states, beneficiaries and advocacy groups on the legislation that modernizes the employment services system for people with disabilities and makes it possible for millions of Americans with disabilities to no longer have to choose between taking a job and having health care.
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Centers for Medicare & Medicaid Services Home Page

Entry point for information on the Medicare and Medicaid programs.
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Centers for Medicare & Medicaid Services Medicaid Information

General information on the Medicaid program, which assists low-income individuals and families in paying for their health care needs.
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Centers for Medicare & Medicaid Services News

Recent news and events from the U.S. Department of Health and Human Services Centers for Medicare & Medicaid Services.
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Children with Severe Chronic Conditions on Medicaid

Provides analysis of Medicaid expenditures for children receiving Supplemental Security Income (SSI) benefits.

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Citizenship Guidelines for Medicaid Eligibility

Final rule on citizenship for Medicaid eligibility expands the types of documentation that can be used to establish citizenship and exempts certain groups from the requirements.
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Consumer-Directed Models of Personal Care: Lessons from Medicaid

Compares and contrasts alternative approaches to administering programs, financed under the Medicaid personal care services optional benefit, that make attendant services available to low-income elderly and disabled persons in need of help with daily living tasks.

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Coordination of Care for Persons with Disabilities Enrolled in Medicaid Managed Care

Presents a conceptual framework to guide the development of measures of care coordination that would be both feasible to apply and meaningful in assessing the performance of Medicaid managed care organizations (MCOs) that enroll people with disabilities.

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EPSDT State Agency Responsibilities

State agency reporting responsibilities under the Early and Periodic Screening, Diagnostic, and Treatment program. EPSDT is Medicaid's comprehensive and preventive child health program for individuals under the age of 21.
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Early & Periodic Screening & Diagnostic Treatment Benefit (EPSDT)

Information about EPSDT benefits which provide for comprehensive and preventive health screening for individuals under the age of 21, including those with intellectual and developmental disabilities.
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Early & Periodic Screening, Diagnosis & Treatment (EPSDT) Program Information

The EPSDT program is designed to meet the physical, mental health and developmental needs of children living in low-income families.
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Elimination of Medicaid Transportation-Related Reimbursement

Medicaid payments will no longer be available for administrative activities performed by school employees or contractors, or anyone under the control of a public or private educational institution, and for transportation from home to school. Document is in .pdf format.
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Final Report of the Medicaid Commission

In May 2005 the Secretary of the Department of Health and Human Services, Michael O. Leavitt, established a Medicaid Commission to advise the Secretary on ways to modernize the Medicaid program so that it can provide high-quality health care to its beneficiaries in a financially sustainable way. On December 29, 2006 the Commission issued its final report.

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Frequently Asked Questions (FAQs) about Medicaid & Medicare

Answers to commonly-asked questions from the Centers for Medicare and Medicaid Services.

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How Does Work Affect My Medicare and/or Medicaid?

Information from the Social Security Administration (SSA) on how working may impact you if you receive Medicare or Medicaid.
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List of Regional and State Medicare and Medicaid Offices

Contacts for beneficiaries, health care providers, state and local governments as well as the general public on questions relating to Medicare or Medicaid.
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Longitudinal Analysis of High Cost Medicaid Children in California

Analyzes the Medicaid experience of children in California who had at least $25,000 in claims in 1983.

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Medicaid Information on Real Choice Grant Program

Information on the Real Choice grant program under Medicaid, which is designed to help states and others build an infrastructure that will result in improvements in services and long-term support systems that enable individuals of all ages to live in a community setting suited to their needs, to have meaningful choices about their living arrangements and to exercise more control over the services they receive.

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Medicaid Information on State Waiver & Demonstration Programs

Information on Medicaid waiver programs and demonstrations that impact the elderly and people with disabilities.

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Medicaid Part II: Prior Approval of Assistive Technology, Fair Hearings & Court Appeals

Newsletter of the Assistive Technology Advocacy Project discusses Medicaid as a funding source for assistive technology or what Medicaid typically calls durable medical equipment.
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Medicaid for People with Cognitive Disabilities

Click on a state from the map on this Web site's home page for specific information regarding Medicaid eligibility for people with cognitive disabilities.
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Medicaid, Assistive Technology & the Courts

Summarizes landmark court decisions from 1996-2003 regarding funding of Durable Medical Equipment and assistive technology.
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National Direct Service Workforce (DSW) Resource Center

Supports efforts to improve recruitment and retention of direct service workers who help people with disabilities and older adults to live independently and with dignity.
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Navigating Medicare & Medicaid: Resource Guides for People with Disabilities, Their Families & Their Advocates

Guides developed by the Kaiser Family Foundation explain the role of Medicare and Medicaid for the roughly 20 million children, adults and seniors with disabilities.

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New Freedom Initiative Medicaid Information

Information on Medicaid's role in the New Freedom Initiative.

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Promising Practices in Home & Community Based Services

Series of reports from the Centers for Medicare & Medicaid Services (CMS) on home and community-based services to assist states, in partnership with their disability and aging communities, to strengthen their community long term support systems.
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Social Security Administration's Medicaid Information

Information on Medicaid from the Social Security Administration's Office of Employment Support Programs.
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State Medicaid Plan Search Engine

This webpage features a map of the United States from which you can click on a state to find information about Medicaid on the state level, including contacts and other resources.
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State Medicaid Programs

This site provides state specific information about the implementation of the Medicare Modernization Act.
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Understanding Medicaid Home & Community Services: A Primer

Designed to encourage use of the Medicaid program in a manner that minimizes reliance on institutions and maximizes community integration in a cost-effective manner.

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What is the Difference Between Medicare & Medicaid?

Medicare is an insurance program that serves people over 65 regardless of their income, younger people with disabilities and dialysis patients. Medicaid is a medical assistance program. Under Medicaid medical bills are paid from federal, state and local tax funds. This program serves low-income people of every age.
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  • The White House: President George W. Bush
  • USA.gov: The U.S. government's official web portal.