While the ACA has worked to expand both federal funding and eligibility for Medicaid, the U.S. Supreme Court ruled that states are not required to participate in the expansion in order to receive their current level of Medicaid funding. As a result, many states have chosen not to expand fun...
or equal to the federal poverty level ($1,255/month in 2024). However, there is a great range in income and asset limits within the states. There are also many exceptions to what are considered countable assets and income. Visit our Medicaid page forcomplete eligibility requirementsor tofind...
States are legally required to cover certain groups of people, including low-income families, qualified pregnant women and children, adult children with disabilities, older adults and people getting Supplemental Security Income, or SSI. (See the full list of groups with mandatory eligibility.) Other...
States go by the applicant's Modified Adjusted Gross Income when determining income eligibility. YourMAGIis your adjusted gross income for federal tax purposes, plus nontaxable interest, Social Security benefits and foreign income. Tip If you earn more than the FLP for your household size, you ca...
Medicaid EligibilityThe Affordable Care Act (ACA) expanded Medicaid to millions of low-income near-elderly Americans, facilitating access to health care services, but did not change income eligibility for Medicaid for those 65 years and older. Therefore, following the ACA's coverage expansion, many...
many older Americans look toMedicaidas a means topay for long-term care.Many people believe that Medicaid will cover all the costs of long-term care, however, although Medicaid does cover some of the costs of long-term care, there are strict eligibility requirements – and they vary greatly...
The first major entitlement, Revolutionary War disability benefits, was initially restricted to members of the Continental Army and Navy who were injured in battle and survivors of those killed in wartime. Eligibility was then expanded, first to state militia soldiers, then to veterans whose ...
Some people qualify for both Medicare and Medicaid, a situation known as dual eligibility. Dual-eligible individuals can benefit from both programs to maximize their healthcare coverage. In these cases, Medicare typically covers medical services like hospital visits and outpatient care, while Medicaid ...
s health reform –the Patient Protection and Affordable Care Act- in 2010. Medicaid was largely impacted by this reform, for states now had the opportunity to expand Medicaid eligibility to larger parts of the uninsured population. Thus,the percentage of uninsured in the United Statesdecreased ...
enhanced funding from CMS and increased efforts by state Medicaid agencies to offer navigation assistance to older adults may be beneficial while they are transitioning into myriad new coverage options at age 65 years. Because eligibility criteria differ between Medicaid expansion coverage and dual Medica...