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Medicaid and Schools

Description: This report discusses the recent history and current issues facing Medicaid funding for certain health related costs under the Individuals with Disabilities Education Act (IDEA).
Date: February 17, 2009
Creator: Herz, Elicia J.
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

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

Coverage of the TANF Population Under Medicaid and SCHIP

Description: Health insurance is an important support for individuals receiving, leaving or diverted from the Temporary Assistance for Needy Families (TANF) welfare or cash assistance program for low-income families. Medicaid and SCHIP (State Children’s Health Insurance Program) are key vehicles for providing such coverage. While there is no formal link between TANF and either Medicaid or SCHIP, some TANF-eligibles, especially children, are likely to qualify for one of these programs. But state eligibility rules can be complex and often differ for parents versus children, leaving some parents, in particular, without coverage.
Date: March 8, 2006
Creator: Herz, Elicia J
Partner: UNT Libraries Government Documents Department

Coverage of the TANF Population Under Medicaid and SCHIP

Description: Health insurance is an important support for individuals receiving, leaving or diverted from the Temporary Assistance for Needy Families (TANF) welfare or cash assistance program for low-income families. Medicaid and SCHIP (State Children’s Health Insurance Program) are key vehicles for providing such coverage. While there is no formal link between TANF and either Medicaid or SCHIP, some TANF-eligibles, especially children, are likely to qualify for one of these programs. But state eligibility rules can be complex and often differ for parents versus children, leaving some parents, in particular, without coverage.
Date: January 27, 2005
Creator: Herz, Elicia J
Partner: UNT Libraries Government Documents Department

Medicaid and Graduate Medical Education

Description: This report discusses Medicaid coverage of graduate medical education (GME) costs. GME costs are difficult to determine because teaching occurs in the context of patient care and research. There are direct GME (DGME) costs, which include residents' stipends, payments to supervising physicians, and direct program administration costs.
Date: February 17, 2009
Creator: Herz, Elicia J. & Tilson, Sibyl
Partner: UNT Libraries Government Documents Department

Medicaid and Graduate Medical Education

Description: This report discusses Medicaid coverage of graduate medical education (GME) costs. GME costs are difficult to determine because teaching occurs in the context of patient care and research. There are direct GME (DGME) costs, which include residents' stipends, payments to supervising physicians, and direct program administration costs.
Date: May 28, 2008
Creator: Herz, Elicia J. & Tilson, Sibyl
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

Individuals with Disabilities Education Act (IDEA) and Medicaid

Description: This report begins with an overview of Individuals with Disabilities Education Act (IDEA). It then discusses the distinction made in IDEA between medical services and health services. The report then summarizes the provisions in law that link Medicaid funding to IDEA. Next the report provides an overview of the complexities of Medicaid eligibility and covered services. Following that discussion, the report analyzes possible reasons why Medicaid appears to cover relatively little of IDEA health-related costs. Finally the report outlines possible legislative approaches with respect to Medicaid and IDEA.
Date: January 31, 2003
Creator: Apling, Richard N & Herz, Elicia J
Partner: UNT Libraries Government Documents Department

Medicaid Regulatory Issues

Description: This report provides a summary of seven proposed and final rules affecting the Medicaid program that were issued by the Bush Administration during 2007 and 2008. Six of the seven rules are currently under a congressional moratorium on further administrative action until April 1, 2009. A description of possible administrative and legislative actions to modify these rules, which could be taken by the next administration or the 111th Congress, is also provided.
Date: November 26, 2008
Creator: Herz, Elicia J. & Burrows, Vanessa K.
Partner: UNT Libraries Government Documents Department

Medicaid, SCHIP, and Other Health Provisions in H.R. 5661: Medicare, Medicaid, and SCHIP Benefits Improvement and Protection Act of 2000

Description: This report discusses Medicaid and the State Children’s Health Insurance Program (SCHIP). The report also discusses other major health provisions provisions of H.R. 5661 are incorporated, by reference into H.R. 4577, the Consolidated Appropriations Act 2001.
Date: January 4, 2001
Creator: Hearne, Jean P.; Herz, Elicia J. & Baumrucker, Evelyne P.
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

H.R. 2: The Children's Health Insurance Program Reauthorization Act of 2009

Description: This report summarizes changes to current law across the major provisions of H.R. 2 that would occur if The Children's Health Insurance Program Reauthorization Act of 2009 (CHIPRA) were enacted.
Date: January 14, 2009
Creator: Baumrucker, Evelyne P.; Herz, Elicia J.; Peterson, Chris L.; Tilson, Sibyl & Gravelle, Jane G.
Partner: UNT Libraries Government Documents Department

Medicaid and Children's Health Insurance Program (CHIP) Provisions in Affordable Health Care for America Act (H.R. 3962)

Description: This report summarizes the major provisions affecting Medicaid and CHIP in H.R. 3962 (as passed), including modifications made by the manager's amendment. The report focuses on provisions in Division B, Title VII--Medicaid and CHIP, plus selected provisions in Title IX--Miscellaneous Provisions. It also describes selected sections of Titles I and II of Division D, the Indian Health Care Improvement Act Amendments of 2009, related to improving access to Medicaid and CHIP for American Indians and Alaskan Natives.
Date: November 10, 2009
Creator: Herz, Elicia J.; Baumrucker, Evelyne P.; Binder, Cliff; Stone, Julie; Heisler, Elayne J. & Hoffman, Geoffrey
Partner: UNT Libraries Government Documents Department

Hurricane Katrina: Medicaid Issues

Description: This report discusses the following: Medicaid’s rules on eligibility, benefits, and financing in the context of current questions and issues raised by Hurricane Katrina. Recent state actions in response to Medicaid issues raised by the hurricane. Federal Medicaid waiver authority, including information on current activity in this area and the New York Disaster Relief Medicaid waiver granted in response to the September 11 terrorist attacks. Current federal legislation related to Medicaid and Hurricane Katrina relief efforts.
Date: November 18, 2005
Creator: Baumrucker, Evelyne P.; Grady, April; Hearne, Jean P. & Herz, Elicia J.
Partner: UNT Libraries Government Documents Department

Medicaid and SCHIP: The President's FY2006 Budget Proposals

Description: This report describes the proposal and provides an estimate of the cost or savings based on publicly available information. The report provides a brief background for the proposal and provides a listing of current Congressional Research Service (CRS) reports related to the proposal.
Date: June 9, 2005
Creator: Grady, April; Hearne, Jean P.; Herz, Elicia J.; Scott, Christine; Stone-Axelrad, Julie & Tritz, Karen
Partner: UNT Libraries Government Documents Department

Medicaid and SCHIP: The President’s FY2006 Budget Proposals

Description: This report describes the proposal and provides an estimate of the cost or savings based on publicly available information. The report provides a brief background for the proposal and provides a listing of current Congressional Research Service (CRS) reports related to the proposal.
Date: February 15, 2005
Creator: Grady, April; Hearne, Jean P.; Herz, Elicia J.; Scott, Christine; Stone-Axelrad, Julie & Tritz, Karen
Partner: UNT Libraries Government Documents Department

Hurricane Katrina: Medicaid Issues

Description: This report discusses the following: Medicaid’s rules on eligibility, benefits, and financing in the context of current questions and issues raised by Hurricane Katrina. Recent state actions in response to Medicaid issues raised by the hurricane. Federal Medicaid waiver authority, including information on current activity in this area and the New York Disaster Relief Medicaid waiver granted in response to the September 11 terrorist attacks. Current federal legislation related to Medicaid and Hurricane Katrina relief efforts.
Date: September 15, 2005
Creator: Baumrucker, Evelyne P.; Grady, April; Hearne, Jean P.; Herz, Elicia J.; Rimkunas, Richard; Stone-Axelrad, Julie et al.
Partner: UNT Libraries Government Documents Department