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Medicaid : intergovernmental trends and options

Description: The ACIR Library is composed of publications that study the interactions between different levels of government. This document addresses medicaid: intergovernmental trends and options.
Date: 1992?
Creator: United States. Advisory Commission on Intergovernmental Relations.
Partner: UNT Libraries Government Documents Department

Community Living Assistance Services and Supports (CLASS) Provisions in the Patient Protection and Affordable Care Act (PPACA)

Description: This report first discusses the cost and financing for long-term care (LTC) services as well as the current market for private LTC insurance. It then details those CLASS program requirements for enrollment, premiums, eligibility, benefits, administration, and oversight. The report also discusses federal budget implications, as estimated by the Congressional Budget Office (CBO) and the Centers for Medicare and Medicaid Services (CMS). Finally, the report provides a timeline of the CLASS program provisions enacted under PPACA.
Date: January 5, 2011
Creator: Mulvey, Janemarie & Colello, Kirsten J.
Partner: UNT Libraries Government Documents Department

Medicaid Financial Eligibility for Long-Term Services and Supports

Description: This report provides an overview of the financial requirements used for determining eligibility for Medicaid long-term services and supports (LTSS). It first provides background information on the Medicaid program, including general eligibility requirements. Then it describes federal statutes as well as selected regulations and guidance regarding these financial eligibility requirements, including rules related to spousal impoverishment, asset transfers, treatment of certain assets, post-eligibility treatment of income, and estate recovery.
Date: March 7, 2017
Creator: Colello, Kirsten J.
Partner: UNT Libraries Government Documents Department

The ACA Medicaid Expansion

Description: This report provides an overview of the ACA Medicaid expansion, and the impact of the Supreme Court decision on the ACA Medicaid expansion. Then, the report describes who is covered under the expansion, the expansion rules, and how the expansion is financed. In addition, enrollment and expenditure estimates for the ACA Medicaid expansion are provided. Finally, the report reviews state decisions whether or not to implement the ACA Medicaid expansion, and the implications of those decisions on certain individuals, employers, and hospitals.
Date: December 30, 2014
Creator: Mitchell, Alison
Partner: UNT Libraries Government Documents Department

Medicare: FY2008 Budget Issues

Description: This report discusses President's budget request to Congress for Medicare, for the following federal fiscal year, along with projections for the five-year budget window. The President’s 2008 budget includes Medicare legislative proposals with estimated savings of $4.3 billion in 2008 and $65.6 billion over the five-year budget window.
Date: February 6, 2007
Creator: Chaikind, Hinda; Jacobson, Gretchen A.; Hahn, Jim; Morgan, Paulette C.; O’Sullivan, Jennifer & Stockdale, Holly Sue
Partner: UNT Libraries Government Documents Department

Medicaid: A Primer

Description: This report describes the basic elements of Medicaid, focusing on federal rules governing who is eligible, what services are covered, how the program is financed and how beneficiaries share in the cost, how providers are paid, and the role of special waivers in expanding eligibility and modifying benefits. The recently passed Deficit Reduction Act of 2005 or DRA, as amended by the Tax Relief and Health Care Act of 2006, included many provisions affecting Medicaid. DRA provides states with opportunities to make fundamental changes in Medicaid program design, including covered benefits and beneficiary cost-sharing. These and other major DRA changes are summarized here. Lastly, basic program statistics and citations to in-depth CRS reports on specific topics are provided.
Date: January 24, 2007
Creator: Herz, Elicia J.
Partner: UNT Libraries Government Documents Department

Medicaid Citizenship Documentation

Description: Due to recent changes in federal law, individuals who declare that they are citizens for Medicaid eligibility purposes must present documentation that proves citizenship and documents personal identity. This report discusses issues related to Medicaid citizenship documentation that have received considerable media and interest group attention, as well as proposed legislation that would affect the requirement.
Date: April 15, 2008
Creator: Grady, April
Partner: UNT Libraries Government Documents Department

Medicaid Issues for the 109th Congress

Description: Medicaid is jointly financed by the federal and state governments, but each state designs and administers its own state program under broad federal guidelines. Accordingly, state variation in eligibility, covered services, and the delivery of, and reimbursement for, services is the rule rather than the exception. How is Congress to respond to the numerous proposals to move Medicaid forward into the near and long term? This report lays out some of these issues, explains the factors underlying them, and provides links to CRS products that can help Members of Congress and their staff prepare to discuss Medicaid’s role today and into the future.
Date: April 10, 2006
Creator: Hearne, Jean
Partner: UNT Libraries Government Documents Department

Medicaid: A Primer

Description: This report describes the basic elements of Medicaid, focusing on federal rules governing who is eligible, what services are covered, how the program is financed and how beneficiaries share in the cost, how providers are paid, and the role of special waivers in expanding eligibility and modifying benefits.
Date: December 19, 2005
Creator: Herz, Elicia J
Partner: UNT Libraries Government Documents Department

The Independent Payment Advisory Board

Description: This report, which provides an overview of the Payment Advisory Board, begins with a discussion of the rationale behind the creation of an independent Medicare board and briefly reviews prior proposals for similar boards and commissions. The report then describes the structure of the Board, the calculations and determinations required to be made by the Office of the Chief Actuary (the Chief Actuary) in the Centers for Medicare & Medicaid Services (CMS) that trigger a Board proposal, and the content of and constraints on Board proposals--including the Medicare productivity exemptions under Section 3401 of the The Patient Protection and Affordable Care Act (PPACA).
Date: April 17, 2013
Creator: Hahn, Jim & Davis, Christopher M.
Partner: UNT Libraries Government Documents Department

The Independent Payment Advisory Board

Description: In response, in part, to overall growth in Medicare program expenditures and growth in expenditures per Medicare beneficiary, the Patient Protection and Affordable Care Act created the Independent Payment Advisory Board (IPAB, or the Board) and charged the Board with developing proposals to "reduce the per capita rate of growth in Medicare spending." This report discusses the responsibilities and duties.
Date: March 12, 2012
Creator: Hahn, Jim & Davis, Christopher M.
Partner: UNT Libraries Government Documents Department

The Independent Payment Advisory Board (IPAB): Frequently Asked Questions

Description: This report responds to frequently asked questions about the Independent Payment Advisory Board (IPAB), including the board's background, current status, controversial issues including legal challenges, and recent legislative efforts to repeal the IPAB.
Date: October 30, 2015
Creator: Hahn, Jim; Davis, Christopher M. & Liu, Edward C.
Partner: UNT Libraries Government Documents Department

Centers for Medicare & Medicaid Services: President’s FY2013 Budget

Description: This report summarizes the President's budget estimates for each section of the CMS budget. Then, for each legislative proposal included in the President's budget, this report provides a description of current law and the President's proposal. The explanations of the President's legislative proposals are grouped by the following program areas: Medicare, Medicaid, program integrity, and health insurance programs.
Date: April 9, 2012
Creator: Mitchell, Alison & Paulette, Morgan C.
Partner: UNT Libraries Government Documents Department

Transitional Medical Assistance (TMA) Under Medicaid

Description: This report provides an overview of transitional medical assistance (TMA). While Section 1925 of the Social Security Act outlines the provisions requiring states to provide TMA for up to 12 months, states have considerable flexibility in designing and implementing their TMA programs.
Date: July 24, 2008
Creator: Grady, April
Partner: UNT Libraries Government Documents Department

American Recovery and Reinvestment Act of 2009 (ARRA, P.L. 111-5): Title V, Medicaid Provisions

Description: In addition to reducing some taxes and funding infrastructure projects, American Recovery and Reinvestment Act of 2009 (ARRA) provisions were designed to provide: temporary support to families and individuals by increasing unemployment compensation benefits; financial assistance for individuals to maintain their health coverage under provisions in the Consolidated Omnibus Budget Reconciliation Act of 1985 (COBRA); temporary increases in Medicaid matching rates; and increases in disproportionate share hospital allotments. This report is a summary of ARRA's Medicaid provisions.
Date: March 17, 2009
Creator: Binder, Cliff; Baumrucker, Evelyne P.; Grady, April & Herz, Elicia J.
Partner: UNT Libraries Government Documents Department

Overview of Health Care Changes in the FY2014 Budget Proposal Offered by House Budget Committee Chairman Ryan

Description: This report summarizes the proposed changes to Medicare, Medicaid, and private health insurance as described in H.Con.Res. 25, the accompanying committee report, and Chairman Ryan's Path to Prosperity report. Additionally, it briefly examines the potential impact of the proposed changes on health care spending and coverage.
Date: March 22, 2013
Creator: Davis, Patricia A.; Mitchell, Alison & Fernandez, Bernadette
Partner: UNT Libraries Government Documents Department

Medicaid and Outpatient Hospital Services

Description: This report discusses a recently-proposed Medicaid rule that would change the definition of outpatient hospital and rural health clinic services, as well as the methods that states must use to demonstrate compliance with the federal upper payment limit on outpatient hospital services provided in private outpatient facilities. A number of groups have expressed concern that this rule will have a significant negative impact on coverage of certain services, which may harm Medicaid beneficiaries.
Date: February 17, 2009
Creator: Herz, Elicia J. & Tilson, Sibyl
Partner: UNT Libraries Government Documents Department

State Medicaid and SCRIP Coverage of Noncitizens

Description: This report focuses on the laws governing noncitizen eligibility for Medicaid and the State Children's Health Insurance Program (SCHIP) and -- to the extent of available data -- implementation of these policies at the state level
Date: February 12, 2009
Creator: Wasem, Ruth Ellen
Partner: UNT Libraries Government Documents Department