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State Profiles. 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.
MAGI is the basis for determining Medicaid income eligibility for most children, pregnant women, parents, and adults. The MAGI-based methodology considers taxable income and tax filing relationships to determine financial eligibility for Medicaid.
Provides respite, supported employment, financial management services, adaptive aids, employment assistance, flexible family support services, minor home modifications, and transition assistance services to individuals who are medically fragile ages 0-20 years who meet a hospital or nursing facility level of care.
In some states individuals applying for NF residence may be eligible for Medicaid under higher eligibility limits used for residents of an institution. See your state Medicaid agency for more information.
Medicaid and the Children’s Health Insurance Program (CHIP) are joint federal and state programs that state Medicaid and CHIP agencies are fully responsible for, including: Administering all program aspects; Operating their state Medicaid programs, including eligibility and enrollment ; How we can help
On May 6, 2019, the Centers for Medicare & Medicaid Services (CMS) issued the Reassignment of Medicaid Provider Claims Final Rule (CMS 2413-F) to rescind 42 C.F.R § 447.10(g)(4) regarding a state’s ability to reassign or divert certain provider reimbursement to third parties.
Louisiana Medicaid Provider Enrollment Disaster Relief. Louisiana currently has the authority to rely upon screening that is performed by other SMAs and/or Medicare. Louisiana is not required to create a temporary provisional enrollment for providers who are enrolled with another SMA or Medicare.
This new and revised section of the Medicaid.gov website that provides information to States, managed care organizations, providers, beneficiaries and others regarding mental health and substance use disorder—referred to as behavioral health services.
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.
Medicaid and CHIP agencies now rely primarily on information available through data sources (e.g., the Social Security Administration, the Departments of Homeland Security and Labor) rather than paper documentation from families for purposes of verifying eligibility for Medicaid and CHIP.