PUBH 6012 Quiz 3 with Complete Solutions A Grade

PUBH 6012 Quiz 3 with Complete Solutions A Grade Medicaid structure - Answer -federal state partnership Medicaid entitlement - Answer -two guarantees: first, all Americans who meet Medicaid eligibility requirements are guaranteed coverage and second, states are guaranteed federal matching dollars without a cap for qualified services provided to eligile enrollees Original 1965 Medicaid Law - Answer -Medicaid eligibility was tied to cash assistance (either Aid to Families with Dependent Children or Federal Supplemental Security Income starting in 1972 for parents, children and the poor aged blind and people with disabilities Entitlement program - Answer -government is supposed to provide certain benefits to a certain segment of population (in medicaid it is low income Americans) pre 2014 medicaid - Answer -covered poor individuals who were also in a covered category (pregnant disabled elderly children or adults in families with dependent children: did not cover low income adults without disabilities, poor women ACA Medicaid expanison - Answer -expanded eligibility to national floor of 133% of FPL EPSDT - Answer -Early and Periodic Screening, Diagnosis, and Treatment State variations in medicaid - Answer -individual state policies for eligibility, cost sharing, provider reimbursement and additional coverage. State did not have to expand medicaid State variation in premium and cost sharing - Answer -may charge premium for enrollees with incomes greater than 150% of FPL, may charge cost sharing up to maximums that vary by income