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Medicare is Federal money, though administered by the state. Each state may add more people into this if the state wants to pay for it.
I did not realize this until recently. Maine has MaineCare, and had previously expanded the eligibility requirements to allow more patients. The extra tab was picked up by Maine.
This spring our new governor saw this as being fiscally irresponsible so he changed the MaineCare eligibility back to match the Federal guidelines. In so doing they booted out over 19,000 people. So we are now hearing a good deal of screaming from people who were under MaineCare, but who failed to qualify under Medicare.
You are completely wrong. You are confusing Medicaid with Medicare. Medicaid is a program funded by the federal and state, administered by the individual States. Medicare is the federal program, funded by federal monies and administered by the Federal Government, not the States.
MainCare is the Medicaid program in Maine and as such has federal matching funds with State funds and is adminstered by the State of Maine.
The big issue concerning the Affordable Healthcare Act and Medicaid is the expansion of Medicaid eligibility to 133% of the FPI (Federal Poverty Index) and the eligible single persons, whereby most State programs granted Medicaid to singles with children and families.
The Federal Mandated, under the Act, that the States would be punished by withdrawing Federal Medicaid Funding if they did not expand the Medicaid program eligibility. The Supreme Court disallowed that part of the Act. However, the Federal Government is still allowed to grant matching funds for the Medicaid Expansion and specifically restrict that these funds are for such expansion. The States can refuse such funds and as such expansion of Medicaid eligibility. Some States have already expanded the eligibility before the mandated future date but have run into funding problems because of the demand; So, they have restricted the program eligibility. Unfortunately that leaves many poor people without Medicaid coverage and many of them do not have the qualifications for coverage under Medicare.
An eligible person can receive Medicare and Medicaid Insurance coverage in all State. Qualifications for Medicare does not automatically mandate eligibility for Medicaid, they are different programs; and Medicaid eligibility does no mean one is automatically qualified for Medicare. However, when one becomes qualified under the federal program of Supplemental Security Income (SSI), then one is automatically qualified for Medicaid in all States.
Livecontent
Last edited by livecontent; 06-29-2012 at 12:00 PM..
You are completely wrong. You are confusing Medicaid with Medicare. Medicaid is a program funded by the federal and state, administered by the individual States. Medicare is the federal program, funded by federal monies and administered by the Federal Government, not the States.
Okay, fine.
A lot of people have been arguing over the funding.
Now a bunch of folks are screaming as they have lost their coverage.
A lot of people have been arguing over the funding.
Now a bunch of folks are screaming as they have lost their coverage.
You got to keep in mind that these people, under rules where the Medicaid is set to the 100% of the FPI and that they are disallowed for coverage as being a single individual were not eligible for Medicaid Coverage. Most of the issue and as you say "screaming" is not people who have lost their coverage but it is people who cannot get that coverage because they are not considered poor unless the States use that expansion of a poor definition to 133% of the FPI and if there are no funds to provide the coverage, what is the answer?
This is the current guidelines for the FPI for 2012.
These are not so strict as for eligibility, as many social programs under the Federal and State use different multipliers of the FPI to determine eligibility.
The only ones that I have actually heard more of their individual stories had nothing to do with their income levels. They had filed with Maine because it was easier.
Now that they have been dropped by Maine, they are filing with SSI.
They had coverage and now they do not. Now they play the game with SSI and lawyers in the hope of one day regaining coverage.
To me, they made mistakes. They should have known that they needed to keep the poker in the fire on their SSI application, and not relaxed it when they got Maine coverage.
I used to do this...it changed so much we had staff meetings every week to keep up...I never bothered to listen, because it changed again the next week anyway...
The only ones that I have actually heard more of their individual stories had nothing to do with their income levels. They had filed with Maine because it was easier.
Now that they have been dropped by Maine, they are filing with SSI.
They had coverage and now they do not. Now they play the game with SSI and lawyers in the hope of one day regaining coverage.
To me, they made mistakes. They should have known that they needed to keep the poker in the fire on their SSI application, and not relaxed it when they got Maine coverage.
The States have many different rules that apply to Medicaid but income and assets are always a determining factor of eligibility in all States, whether you heard it or not. In addition, SSI (Supplemental Security Income) is contingent on a define level of income and assets for defining a poor individual; it then is used for automatic eligibility for Medicaid in all States.
You can only get SSI(Supplemental Security Income) if you are over 65 and poor or if you are under 65 and certified as disabled or blind and poor Poor is defined as a statutory measure of income and assets.
So, even if these specific people had Medicaid, most of them would have had SSI beforehand as it makes them qualified and are enrolled automatically for Medicaid and can not be removed unless assets and income change. Most of these people would have been awarded Medicare and as such Medicare would have notified them of them to apply for SSI(Supplemental Security Income) if their SSRI(Social Security Retirement Insurance)for over 65 or SSDI(Social Security Disability Insurance)for under 65 was on the lower payment scale. You can receive SSRI or SSDI and SSI. You can also receive SSI without SSRI or SSDI if you have not worked to have qualified credits for SSRI or SSDI. You can be covered under Medicare and Medicaid at the same time.
No one who have been getting Medicaid and then is denied or loose coverage can just seek SSI on a whim to regain Medicaid coverage unless they fit the specific criteria that I mentioned.
You are just continuing to misunderstand the system and write incorrect and dubious statements.
Livecontent
Last edited by livecontent; 06-29-2012 at 06:52 PM..
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