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Tab Title: Eligibility
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Medicaid and CHIP provide health coverage to nearly 60 million Americans, including children, pregnant women, parents, seniors and individuals with disabilities. In order to participate in Medicaid, Federal law requires States to cover certain population groups (mandatory eligibility groups) and gives them the flexibility to cover other population groups (optional eligibility groups). More information is available in the Eligibility section.
Tab Title: Benefits
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States establish and administer their own Medicaid programs, and determine the type, amount, duration, and scope of services within broad federal guidelines. States are required to cover certain mandatory benefits, and can choose to provide other optional benefits including prescription drugs. States receive federal matching funds to provide these benefits. More information is available in the Benefits section.
Tab Title: Cost Sharing
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States establish and administer their own Medicaid programs, and determine the type, amount, duration, and scope of services within broad federal guidelines. States are required to cover certain mandatory benefits, and can choose to provide other optional benefits including prescription drugs. States receive federal matching funds to provide these benefits. More information is available in the Benefits section.
Tab Title: Long-Term Services & Support
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The Medicaid program allows for the coverage of Long Term Care Services through several vehicles and over a continuum of settings. This includes Institutional Care and Home and Community Based Services (HCBS). Please click on this option for more information. More information is available in the Long-Term Services & Supports section.
Tab Title: Delivery Systems
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States have choices in their approach to reimbursement and delivery system design under the Medicaid Program. More information is available in the Delivery Systems section.
Tab Title: Financing & Reimbursement
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Medicaid is jointly funded by the Federal government and the States. The Federal government pays States for a specified percentage of program expenditures, called the Federal Medical Assistance Percentage (FMAP). More information is available in the Financing & Reimbursement section.