Medicaid and the Medicare Savings Programs 2. The following programs administered by local Departments of Social Services and the Human Resources Administration in New York City can assist individuals/couples in paying for their Medicare Premiums. The income below, except for full Medicaid, includes a $2. Full Medicaid for dual eligibles (Individuals eligible for both Medicare and Medicaid)This program pays for a wide range of medical care, services and supplies as well as premium, coinsurance and deductible payments for Medicare beneficiaries. The 2. 01. 6 income and resource requirements for those applicants who are aged, or certified blind or disabled are: Income Below. Resources Below. Single: $8. Couple: $1,2. 09 per month$2. Note: Medicaid allows a $2. MSP. The income listed below reflects the $2. Qualified Medicare Beneficiary Program (QMB)This program can pay for the Medicare Part A and/or Part B premium. An individual can be eligible for QMB only or for QMB and Medicaid. This program also pays for the Medicare Parts A and B coinsurance and deductibles. The 2. 01. 6 income requirements for this program are: Income Below (1. FPL + $2. 0)Single: $1,0. Couple: $1,3. 55 per month. Specified Low Income Medicare Beneficiary Program (SLIMB)This program pays for the Medicare Part B premium only. Individuals can be eligible for SLIMB only or for SLIMB and Medicaid (with a spenddown). The applicant must have Medicare Part A in order to be eligible for the program. The 2. 01. 6 income requirements for this program are: Income Below (1. FPL+ $2. 0)Single: $1,2. It is funded by federal and state general funds. The program focuses on coverage for low-income children, pregnant women, families. The Medicaid program is administered by the Division of Health Care Services (DHCS). Couple: $1,6. 22 per month. Qualified Individual (QI)This program pays for the Medicare Part B premium only. Individuals cannot be eligible for QI and Medicaid. The applicant must have Medicare Part A. States are allotted money for this program on a yearly basis. The 2. 01. 6 income requirements for this program are: Income Below (1. FPL + $2. 0)Single: $1,3. Couple: $1,8. 23 per month. Qualified Disabled and Working Individual (QDWI)This program pays for the Medicare Part A premium only,not Part B. The applicant must be a disabled worker under age 6. Part A benefits because of return to work. The 2. 01. 6 income and resource requirements for this program are: Income Below (2. FPL + $2. 0)Resources Below. Single: $2,0. 00 per month$4,0. Couple: $2,6. 90 per month$6,0. Applications for these programs may be obtained from the Medicaid office at the local (county) Department of Social Services. Or, you may print the application form from the link below. Other State Medicaid Links. Alaska : Montana : Arizona : Nebraska : Arkansas : New Hampshire : California : New Jersey : Colorado : New Mexico : Connecticut.All applications for the Medicare Savings Program must be mailed to the local Department of Social Services where you live. The phone number and address for the local Department of Social Services may be found in the government pages of the telephone book. State Medicaid & CHIP Profiles. Every state’s Medicaid and CHIP program is changing and improving – most states are expanding coverage for low-income adults; all states are modernizing their Medicaid/CHIP eligibility. Medi-Cal, California's Medicaid program, covers more people than any other Medicaid program. Total enrollment has grown by 38% since 2013, and undocumented immigrant children will be eligible for Medi-Cal starting in May 2016. California’s State Level Registry (SLR) is a portal through which eligible providers and hospitals can register for the Medi-Cal Electronic Health Record (EHR) Incentive Program. Within New York City, the phone number to call for the Medicaid Helpline is 1- 8. Outside of New York City call 2. Medicare Savings Program Application (PDF, 7. KB, 2pg.)OHIP- 0. Medicaid, an entitlement program created by the federal government, is the primary public program for financing basic health and long- term care services for low- income Alaskans. It is funded by federal and state general funds. The program focuses on coverage for low- income children, pregnant women, families, adults without dependent children between the ages of 1. The federal government establishes guidelines that requires the state to cover specific categories of people and types of benefits. It is, however, the legislature's responsibility to determine which services are to be covered, the qualifying standards and the categories of people who will be eligible for benefits under the Medicaid program. Within these guidelines and constraints, the Department of Health Services has considerable flexibility in establishing financial eligibility criteria, benefit packages and payment policies. See if you're eligible: Medicaid Income and Eligibility standards. DPA Service Delivery The Medicaid program is administered by the Division of Health Care Services (DHCS). While DHCS is responsible for program and policy development, the Division of Public Assistance (DPA) is responsible for determining the eligibility of individuals and families in need of Medicaid benefits. Medical benefits are a crucial component of the safety- net services delivered through DPA. Careful assessment by DPA staff identifies Medicaid program best suited to meet the needs of applicant families and individuals. Division staff determine eligibility and authorize benefits for Family Medicaid, a program intended to meet the medical needs of low- income families. As families transition from welfare to work, DPA staff insure that eligible family members continue to receive Transitional Medicaid benefits. Staff also are responsible for determining eligibility and issuing benefits for infants, children, pregnant women, elderly, and disabled individuals who qualify for one of the other categorical Medicaid programs. The majority of Medicaid recipients are beneficiaries of other programs and services administered and delivered by DPA. Most recipients of Alaska temporary assistance benefits receive Family Medicaid benefits. Many children, young adults, and elderly or disabled persons receiving Medicaid also receive food stamps or Adult Public Assistance benefits. Program Policy - Changes and Issues. For the latest information on Medicaid program policy changes and issues, please click on the following links.
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