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Expanding Medicaid under the Affordable Care Act
The Affordable Care Act and Medicaid
The Affordable Care Act and Medicaid
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Recommended: Expanding Medicaid under the Affordable Care Act
Introduction
Eligibility for Medicaid programs in Michigan is based on either income only or income and assets. In addition, many of the programs available have age restrictions and/or require applicants to have certain health conditions (e.g. pregnancy). Eligibility requirements for Medicaid in Indiana are similar to those of Michigan. The two programs, however, do contrast in three substantial ways. Two out of three of these ways indicates that Indiana has the better program.
Michigan’s Eligibility Criteria for Medicaid
Traditional Medicaid is available, in Michigan, to adults that are taking care of a dependant child(ren), are on Supplemental Security income (SSI), aged, blind, disabled and those diagnosed with a permanent disability or that were blind before the age of 22 (MDCH, 2014). Many of these categories include an income and asset test (MDCH, 2014). There is also a program called the Adult Medical Program that provides limited services to childless adults that do not qualify for Medicaid (MDCH, 2014). There is an income and asset test for this program as well.
Michigan also has a Medicaid program that is available to all low-income adults that are permanent residents of Michigan. This Medicaid program is subject to an income and asset test (MDCH, 2014). If the person does not pass the income and asset test, they may still qualify but will have to pay a deductible before benefits would start (MDCH, 2014). This is called the Medicaid “Spend-down” Program (MDCH, 2014).
Another of Michigan's Medicaid programs is called Healthy Kids and is for low-income children under 19 years of age and pregnant women (MDCH, 2014). There is no monthly premium for this and there is only an income test (MDCH, 2014). The benefits of ...
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...led individuals and increase health care support for disabled persons. Taken as a whole, both programs are comparable with only three contrasting factors. Income limits, available programs for adults and varying amounts of programs designed to benefit disabled persons. However, with the recent induction of the Patient Protection and Affordable Care Act, it is reasonable to assume that many needed changes are coming to all states including Michigan and Indiana. In a few years, the programs for both states will probably look very different.
Works Cited
FSSA (2010). Indiana Medicaid for Members. Am I Eligible? Retrieved and viewed on February 11, 2014 from: http://member.indianamedicaid.com/am-i-eligible.aspx
MDCH (2014). Health Care Programs Eligibility. Retrieved and viewed on February 10, 2014 at http://www.michigan.gov/mdch/0,1607,7-132-2943_4860-35199--,00.html
...r the condition to be covered, or be charged extraordinary sums for premiums. The employee must not go without coverage for more than 63 days to avoid the pre-existing condition clauses in a policy. In reality, the government should make Medicaid benefits available to the newly unemployed or low-wage earners due to their now “low-income” status. The reality is that even if the government did make Medicaid benefits available, the state of the economy has caused many states to reduce Medicaid benefits for budgetary reasons.
United States Department of Health and Human Services (HHS). (2014). About the law. Retrieved from http://www.hhs.gov/healthcare/rights/
Welcome to the Marketplace. Centers for Medicare and Medicaid Services, n.d. Web. 15 Mar. 2014.
...nce (Kaspen, Gorman & Miller, 2013) By encouraging healthy lifestyle choices, such as smoking cessation, healthy diet, weight management, blood pressure and cholesterol management people are healthier and at reduced risk for developing chronic conditions, ultimately decreasing the need for medical care and money spent on it (Kaspen, Gorman & Miller, 2013).
U.S. Department of Health and Human Services (2012). 2012 National health care disparities report (13-0003). Retrieved from Agency for Health Care Research and Quality website: http://ahrq.gov-research-findings-nhqrdr-nhdr12-2012nhdr.pdf
Health needs are met due to the program’s emphasis on early detection of medical problems. Each child in Head Start becomes involved in a health program. The health program covers immunizations, medical, dental, and mental services (U.S. Department of Health and Human Services, 2002). Immunizations are ...
3 Income, Poverty, and Health Insurance Coverage in the United States: 2010. U.S. Department of Commerce, U.S. Census Bureau, September 2010. (Table 4 and Table B2). http://www.census.gov/prod/2010pubs/p60-238.pdf
sponsored programs, such as Medicaid, that try and offset medical problems of the poor youth,
An option for folks who have no money is Medicaid. Medicaid is designed for the very poor people. Unfortunately you must meet Medicaid guidelines in order to be eligible for it. “In order to be eligible you must make below the poverty level that the government allows, this is about $1,497 a month for a single person, also if you are a child who is under 19, if you are pregnant, if you are out of work for a long time, or if you are HIV positive, you may be eligible to apply.” These guidelines alone generally rule out many of Americans. “The U.S. Census reported young adults (18-to-24 years old) remained the least likely of any age group to have health insurance in 2001.” More than 28% of this group does not have coverage.
The author also believes that the Medicaid expansion extends beyond the politics, and has an aim to impact the life, health, and financial stability for the state and individuals. Medicaid expansion can be beneficial to many countries that have a large proportion of low-income people that are uninsured and or with disabilities. This can aid in saving the state money because much of the cost is provided and covered by the federal government, that encourages healthier behavior and results to a reduction in chronic disease due to lower health care costs. Although Texas opted out in adopting the expansion, legislators should decide on the advantage and disadvantage of participating in the Medicaid expansion to improve the welfare of the state. The expansion of Medicaid coverage will give low-income pregnant women the chance to reduce the rate in infant mortality and provide an opportunity for those that were unable to get coverage to be
Medicaid supports children who are under the age of nineteen, people over the age of sixty five, enrollees who are disabled and those that need permanent nursing home care. Potential beneficiaries can find an application for Medicaid at their State’s Medicaid agency (Medicare.gov, 2008).
However, MSAs alone have not achieved the goal of universal access. The continued concerned is that MSAs have not helped unemployed persons or low- and middle-income persons who cannot afford to contribute to such accounts. These accounts, in some cases, have even resulted in reduced health insurance protection and greater out-of-pocket expenses for those most in need of health care services. Problems of adverse risk selection have also taken place when a healthy person has chosen to establish MSAs and obtain high-deductible health insurance; this choice has sometimes caused premiums to become less affordable for persons who desire traditional health insurance.
Medicaid is an assistance program for low-income people regardless of age. A federally mandated program, Medicaid is run by state and local governments under the established federal guidelines. Income and resource levels are the primary means for each state to determine eligibility with the level varying from state to state. Eligibility is also affected by other factors such as age, whether you are pregnant, if you are blind or have other disabilities, and U.S. citizenship or lawful immigration status. Some states req...
With the United Nations listing health care as natural born right and the escalating cost of health care America has reached a debatable crisis. Even if you do have insurance it's a finical strain on most families.