Health administration and policy 3

Medicaid and CHIP

M edicaid and C

H IP

W hat is M

edicaid:

http://w w

w .youtube.com

/w atch?v=N

Z J-k0uLx0A

Medicaid ● State/Federal partnership program providing

care to low income Americans

M edicaid’s R

ole in F inancing

● S

afety-N et P

roviders ○

D S

H P

aym ents

● LT

S S

S tructure of M

edicaid ●

S tate/F

ederal P artnership

● S

tates A dm

inister M edicaid

○ S

tate P lan and S

P A

s ●

F ederal W

aivers

W ho M

edicaid C overs

○ C

hildren ○

Low Incom

e P arents

○ P

regnant W om

en ○

E lderly

○ D

isabled (A B

D population)

C hildren

● Low

incom e

● W

ards of the S tate

C H

IP ●

C reated in 1997

● C

overs children at higher incom es than M

edicaid ●

H igher F

M A

P

P regnant W

om en &

Low Incom

e P

arents

A B

D ●

D isabled Individuals

● D

ual E ligibles

● http://w

w w

.youtube.com /w

atch?v=6P M

yIykS M

C U

W hat is C

overed? M

andatory S ervices

● P

hysician’s S ervices

● H

ospital S ervices (inpatient and outpatient)

● Lab and x-ray services

● E

P S

D T

● F

Q H

C and R

H C

services ●

F am

ily planning services and supplies ●

P ediatric and fam

ily nurse practitioner, nurse m idw

ife services ●

S N

F ●

H om

e H ealth C

are for persons eligible for S N

F ●

T ransportation

● O

ptional S ervices

“S kin in the G

am e”

● P

rem ium

s ●

C ost S

haring

M anaged C

are and M edicaid

● M

C O

● P

C C

M ●

E xpansion: http://w

w w

.nebraskalegislature.gov/bills/view _bill.php?

D ocum

entID =21685

Q uestions?

Q uiz T

im e!