Medicaid Eligibility

Medicaid, otherwise known as Title XIX of the Social Security Act, saw its origins in 1965 when it was established as a Federal health care program designed to offer healthcare services to select low-income families. Other groups of people who might find themselves eligible for Medicaid include:
  • Disabled
  • Blind
  • Elderly
  • Select families with dependent children
Although a Federal program, Medicaid is run by the states, so eligibility can shift from state-to-state depending on their sometimes-unique requisites.

Eligibility

  • Individuals meeting the requirements for the Aid to Families with Dependent Children (AFDC) program
  • Children under age 6 whose family income is at or below 133 percent of the Federal poverty level
  • Pregnant women whose family income is below 133 percent of the FPL
  • Supplemental Security Income (SSI) recipients in most States
  • Recipients of adoption or foster care assistance
  • Special protected groups (typically individuals who lose their cash assistance due to earnings from work or from increased Social Security benefits, but who may keep Medicaid for a period of time)
  • All children born after September 30, 1983 under age 19, in families with incomes at or below the FPL.
Services Provided Under Medicaid
  • Inpatient hospital services
  • Outpatient hospital services
  • Prenatal care
  • Vaccines for children
  • Physician services
  • Nursing facility services for persons aged 21 or older
  • Family planning services and supplies
  • Rural health clinic services
  • Home health care for persons eligible for skilled-nursing service
  • Laboratory and x-ray services
  • Pediatric and family nurse practitioner services
  • Nurse-midwife services
  • Early and periodic screening, diagnostic, and treatment services for children under age 21
For more information, visit CMS at www.cms.gov

 


Compare Medicaid Eligibility with  : MEDICARE ELIGIBILITY :


 

 


 

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