|
Glossary
A B C D E F G H I J K L M N O P Q R S T U V W X Y Z
M
Mainstream Resources:
A variety of Federal and state benefit assistance
programs not specifically targeted to people who are homeless but which
people who are homeless
may be eligible for due to their economic or disability status. These
resources account for billions of dollars in Federal and state funds
available nationwide to provide people with low-income with cash
payments and supportive services for needs such as housing, health
care, job training, and food and nutrition.
Source: Technical Assistance Collaborative
Medicaid:
Medicaid
is a jointly funded, Federal-state health insurance program for
certain low-income and needy people. It covers approximately 44 million
individuals
who fall under three main categories: parents and children, the
elderly, the disabled and the blind. There are generally three types
of Medicaid
eligibility groups: mandatory, categorically needy, and medically needy.
Source:
Centers for Medicare & Medicaid
Services
Medicaid Only Dual Eligibles (Non QMB, SLMB,
QDWI):
These individuals are entitled to Medicare Part
A and/or Part B and are eligible for full Medicaid
benefits. They are not eligible for Medicaid as
a QMB, SLMB or QDWI. Typically, these individuals
need to spend down to qualify for Medicaid or
fall into a Medicaid eligibility poverty group
that exceeds the limits listed above. Medicaid
provides full Medicaid benefits and pays for Medicaid
services provided by Medicaid providers, but Medicaid
will only pay for services also covered by Medicare
if the Medicaid payment rate is higher than the
amount paid by Medicare, and, within this limit,
will only pay to the extent necessary to pay the
beneficiary's Medicare cost-sharing liability.
Payment by Medicaid of Medicare Part B premiums
is a state option; however, states may not receive
FFP for Medicaid services also covered by Medicare
Part B for certain individuals who could have
been covered under Medicare Part B had they been
enrolled. Federal financial participation (FFP)
equals the Federal medical assistance percentage
(FMAP).
Source: Centers for Medicare & Medicaid
Services
Medically Needy:
Under
the Medicaid program, these groups include certain children under age
18 and pregnant women who, except for income and resources, would be
eligible as categorically needy.
Source:
Centers for Medicare & Medicaid
Services
Medicare:
The Federal
health insurance program for: people 65 years of age or older, certain
younger people with disabilities, and people with End-Stage
Renal Disease (permanent kidney failure with dialysis or a kidney transplant, sometimes
called ESRD).
Source: Centers for Medicare & Medicaid
Services
Medicare Managed Care Plan:
These
are health care choices (like HMOs) in some areas of the country. In
most plans, there are predetermined doctors, specialists, or hospitals
on the plan's list. Plans must cover all Medicare Part A and Part B
health care. Some plans cover extras, like prescription drugs. Costs
may be lower than in the Original Medicare Plan.
Source:
Centers for Medicare & Medicaid
Services
Medicare Savings Program:
Medicaid
programs that help pay some or all Medicare premiums and deductibles.
Source:
Centers for Medicare & Medicaid
Services
Medigap Policy:
A Medicare
supplement insurance policy sold by private insurance companies to
fill "gaps" in Original Medicare Plan coverage. Except in
Massachusetts, Minnesota and Wisconsin, there are 10 standardized plans
labeled Plan A through Plan J. Medigap policies only work with the
Original Medicare Plan.
Source: Centers
for Medicare & Medicaid
Services
|
