Author: United States Government Account Office
Published Date: 29 Jan 2018
Publisher: Createspace Independent Publishing Platform
Language: English
Format: Paperback| 62 pages
ISBN10: 1984350455
ISBN13: 9781984350459
Publication City/Country: none
Dimension: 216x 279x 3mm| 168g
Download Link: Gao-04-491 Medicaid and Schip States' Premium and Cost Sharing Requirements for Beneficiaries
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SummaryIn recent years, a number of states have increased cost-sharing for low-income Medicaid beneficiaries as one approach to Medicaid cost-containment. While copayments have been most commonly The Effects of Copayments on the Use of Medical Services and Prescription Drugs in Utah s Medicaid Program | Center on Budget and Policy Priorities Medicaid and CHIP Eligibility & Enrollment Webinars; Medicaid. Medicaid State Plan Amendments; Access to Care. Access Monitoring Review Plans; Program Integrity. National Correct Coding Initiative; Affordable Care Act Program Integrity Provisions; Cost Sharing. Cost Sharing Exemptions; Out of Pocket Costs; Indian Health & Medicaid. History cost-sharing requirement, such as a premium or copayment; 11 states charged no 19 million Medicaid beneficiaries were children, and combined federal and state Beneficiaries, GAO-04-491 (Washington, D.C.: Mar. In this paper we examine another dimension of Medicaid/CHIP cost sharing for children: its potential financial impact on families. The share of states that charged premiums and the median SCHIP: States' Premium and Cost Sharing Requirements for Beneficiaries, Pub. no. GAO-04-491, March 2004), Most SCHIP Programs Require Cost-Sharing, but Amounts Charged Vary Considerably In 2005, most See GAO, Medicaid and SCHIP: States' Premium and Cost Sharing Requirements for Beneficiaries, GAO-04-491 (Washington, D.C.: Mar. beneficiary contributions, specifically premiums and cost sharing, in SCHIP beneficiary contributions required in Medicaid, SCHIP, or both. These proposed regulations would amend existing Medicaid cost sharing regulations at 42 CFR part 447 and State Children's Health Insurance Program (SCHIP) cost sharing regulations at 42 CFR part 457. We propose this approach to assist the reader in easily accessing all Medicaid and SCHIP cost sharing U.S. General Accounting Office, Medicaid and SCHIP: States Premium and Cost-Sharing Requirements for Beneficiaries, March 2004. This report provides a detailed explanation of federal Medicaid cost-sharing rules and state cost-sharing levels. Vernon Smith, et al. The Continuing Medicaid Budget Challenge: State Medicaid Spending Growth States have the option to impose much higher cost sharing requirements and to make these requirements enforceable b.) A provider may refuse service or beneficiaries may be disenrolled from Medicaid if they do not pay the requisite amount The State Children s Health Insurance Program (SCHIP) is a program designed to improve the availability and accessibility of health coverage to low-income children and pregnant women in Current law already gives states flexibility to pay premiums and enroll Medicaid and SCHIP beneficiaries in employer-based coverage. States must ensure, however, that doing so is cost-effective for Medicaid and SCHIP and that beneficiaries have the same benefits and cost-sharing protections they would otherwise have. monthly premiums, deductibles, and cost-sharing paid by beneficiaries ~ People with income >$85,000 will pay higher premiums Part C - Receives funding for Part A and B services through funding sources described above - Plans may also require monthly premiums, deductibles, and cost sharing to be paid by beneficiaries Part D In recent years, a number of states have increased cost-sharing for A UDOH report concluded that Medicaid beneficiaries in that state did not use less [16] General Accounting Office, Medicaid and SCHIP: States' Premium and Cost-Sharing Requirements for Beneficiaries, GAO 04-491, March 2004. amount of cost sharing expected from the insured. In the private market, this trend can be seen in the advent of consumer-driven health plans with high deductibles and pre-tax medical spending accounts. In terms of public coverage, cost sharing is becoming more common in both Medicaid and the State Children s Health Insurance Program (SCHIP). States generally may charge a co-payment or insurance premium, known as cost-sharing, to beneficiaries for the care they receive, including prescription medication. However, traditionally, some groups and services were exempt from cost-sharing in order to ensure their use of needed health care.9 Unfortunately, the DRA now allows states to 3 general requirements of Medicaid. Premiums and cost sharing is capped at _____ of income. Managed care ~75% of Medicaid beneficiaries are enrolled in some type of _____ _____ plan (State Children's Health Insurance Program) Expands health insurance to children whose families earn too much money to be eligible for Medicaid, but not Medicaid & CHIP. This category provides information about the states health coverage programs for the low-income, including Medicaid and the Children's The Deficit Reduction Act: Important Facts for State & Local Sections 6041, 6042, and 6043 of the DRA allow States to vary the premiums and cost sharing that they charge to certain Medicaid beneficiaries. No premiums are permitted for Consider if the State should impose alternative premiums and cost sharing upon certain Medicaid
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