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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
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