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Medicaid estate recovery is a required process under United States federal law in which state governments adjust (settle) or recover the cost of care and services from the estates of those who received Medicaid benefits after they die. By law, states may not settle any payments until after the beneficiary's death.
They make too much money to qualify for long-term care benefits under Medicaid, but not enough money to pay for expensive long-term care such as an assisted living facility or home health aide.
Prior to July 2013, ODJFS was also the state agency responsible for the administration of Ohio's Medicaid program. In July 2013, a new state agency was created, the Ohio Department of Medicaid (ODM), Ohio’s first Executive-level Medicaid agency. ODJFS employs about 2,300 full time employees and has an annual budget of $3.3 billion. [2]
At $8,000, the mean cost per stay billed to Medicaid was $2,000 less than the average cost for all stays. [103] Medicaid does not pay benefits to individuals directly; Medicaid sends benefit payments to health care providers. In some states Medicaid beneficiaries are required to pay a small fee (co-payment) for medical services. [2]
If President-elect Trump cuts Medicaid funding, Ohio will have to make up the difference, cut services or slash enrollment. That could hurt hospitals.
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HCFA was renamed the Centers for Medicare and Medicaid Services on July 1, 2001. [9] [11] In 2013, a report by the inspector general found that CMS had paid $23 million in benefits to deceased beneficiaries in 2011. [12] In April 2014, CMS released raw claims data from 2012 that gave a look into what types of doctors billed Medicare the most. [13]
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