Federal poverty level (FPL) guidelines for 2011 were published in the Federal Register January 20, 2011. 76 FR 3637 (January 20, 2011). The guidelines provide the baseline for eligibility levels for many public benefits, including health … [Read more...] about 2011 Poverty Levels Affect Eligibility for Many Federal Programs
Related Topics and Medicaid
Recommendations for a Beneficiary-Centered Office for Dual Eligibles
The Affordable Care Act creates an office within the Centers for Medicare & Medicaid Services (CMS) whose focus is beneficiaries who are eligible for both Medicare and Medicaid (dual eligibles). [1] Specifically, the Federal Coordinated Health … [Read more...] about Recommendations for a Beneficiary-Centered Office for Dual Eligibles
CMS Sanctions Missouri Medicaid for Overly Restrictive Home Health Standards
The state of Missouri requires Medicaid beneficiaries to be "confined to the home" in order to receive home health services provided under its Medicaid program. While this so-called "homebound" rule has been required by statute … [Read more...] about CMS Sanctions Missouri Medicaid for Overly Restrictive Home Health Standards
Goodbye POS, Hello LI NET: More Help for Dually Eligible People
In 2006 the Centers for Medicare & Medicaid Services (CMS) created the "Point-of-Sale Facilitated Enrollment" (POS) process, administered by WellPoint. The purpose of the POS is to assist people who are dually eligible for Medicare and … [Read more...] about Goodbye POS, Hello LI NET: More Help for Dually Eligible People
Older Americans Act Provides Assistance for Supportive Services
Introduction Advocates assisting Medicare beneficiaries, including those who are dually eligible for Medicare and Medicaid, should review the supportive services available under the Older Americans Act (OAA) for individuals in their homes or … [Read more...] about Older Americans Act Provides Assistance for Supportive Services
Part D And People Who Are “Medically Needy”
Warning: this Alert may cause headaches. Those readers who have ever roamed the Serbonian Bog[1] that is Medicaid will feel right at home. THE MEDICAID BOG The so-called Medically Needy - Medicare beneficiaries whose Medicaid eligibility depends on … [Read more...] about Part D And People Who Are “Medically Needy”
Medicare Cost-Sharing for Dual Eligibles: Who Pays What for Whom?
Guidance released recently by the Centers for Medicare & Medicaid Services (CMS) sheds new light on an issue that has created hardships for beneficiaries and challenges for advocates trying to help them. The guidance addresses two issues: balance … [Read more...] about Medicare Cost-Sharing for Dual Eligibles: Who Pays What for Whom?