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MA 400 Introduction

MA 400 Introduction to Medicaid

QuestionAnswer
What Act requires states to establish Medicaid programs? Title XIX of the Social Security Act
What is the purpose of Medicaid? To provide Medical Assistance to low income individuals and families.
Who decides eligible coverage groups, eligibility criteria, covered services, payment levels, and administrative operating procedures? Each State
In North Carolina, the Medicaid program is administered by whom? Division of Health Benefits (DHB)
What entities determine eligibility for Medicaid? The county Departments of Social Services/human services agencies / (DSS)
What agency determines eligibility for for Supplemental Security Income (SSI) beneficiaries? The Social Security Administration (SSA)
How is Medicaid funded? It is jointly financed with federal, state, and county funds.
The Social Security Act mandates certain groups of individuals who must be covered by Medicaid. Who are included in the mandatory groups? Individuals receiving SSI, certain Medicare beneficiaries, pregnant women, caretakers, and children.
The Act also describes optional groups the state may elect to cover. What two optional groups does NC cover? Individuals described as Medically Needy and individuals who receive Special Assistance.
In order to receive Medicaid, individuals must meet what type of criteria? Financial and non-financial
Created by: SurryDSS
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