Medicaid provides health coverage to millions of Americans, including eligible low-income adults, children, pregnant women, elderly adults and people with disabilities. Medicaid is administered by states, according to federal requirements. The program is funded jointly by states and the federal government. Medicaid and the Children’s Health Insurance Program (CHIP) are joint federal/state programs. Each state Medicaid/CHIP agency has full responsibility for all aspects of the administration and operation of the Medicaid and CHIP programs in their state, including determining eligibility for and enrollment into their program.
Description
81.4 Million People Covered
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Policy and Program Topics
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Medicaid State Plan Amendments
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A Medicaid and CHIP state plan is an agreement between a state and the Federal government describing how that state administers its Medicaid and CHIP programs.
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Access to Care
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Medicaid and the Children’s Health Insurance Program (CHIP) provide critical health coverage for millions of people. Through these programs, the Centers for Medicare and Medicaid Services (CMS) supports access to care in many ways.
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Program Integrity
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The Centers for Medicare & Medicaid Services (CMS) is committed to combating Medicaid provider fraud, waste, and abuse which diverts dollars that could otherwise be spent to safeguard the health and welfare of Medicaid enrollees.
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Cost Sharing
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States have the option to charge premiums and to establish out of pocket spending (cost sharing) requirements for Medicaid enrollees. Out of pocket costs may include copayments, coinsurance, deductibles, and other similar charges.
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Indian Health & Medicaid
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Medicaid and CHIP can serve as a critical source of care for American Indians and Alaska Natives.
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Outreach Tools
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The Center for Medicaid and CHIP Services (CMCS) is committed to supporting state efforts to identify and enroll people who are eligible for Medicaid or the Children’s Health Insurance Program, as well as efforts to help enrollees live longer, healthier lives.
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Program Information
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National Medicaid & CHIP Program Information
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Section 1115 Demonstrations
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Section 1115 of the Social Security Act gives the Secretary of Health and Human Services authority to approve experimental, pilot, or demonstration projects that promote the objectives of the Medicaid and Children’s Health Insurance Program (CHIP) programs.
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Managed Care
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Managed Care is a health care delivery system organized to manage cost, utilization, and quality.
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Medicaid Eligibility
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Medicaid is a joint federal and state program that, together with the Children’s Health Insurance Program (CHIP), provides health coverage to over 72.5 million Americans, including children, pregnant women, parents, seniors, and individuals with disabilities. Medicaid is the single largest source of health coverage in the United States.
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Financial Management
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The Medicaid program is jointly funded by the federal government and states. The federal government pays states for a specified percentage of program expenditures, called the Federal Medical Assistance Percentage (FMAP).
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Data & Systems
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The Data and Systems Group (DSG), within the Center for Medicaid and CHIP Services (CMCS), provides oversight, funding, technical assistance, and guidance to state Medicaid agencies for the Medicaid Information Technology (IT) Enterprise.
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Quality of Care
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Enrollment Strategies
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Home & Community Based Services
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Benefits
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Prescription Drugs
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Long Term Services & Supports