Learning Outcomes

Describe the federal Medicaid eligibility requirements.

Discuss the effects of the Welfare Reform Act on Medicaid eligibility.

Explain the difference between categorically needy and medically needy.

Describe the income and asset guidelines used by most states to determine eligibility.

List the services that Medicaid usually does not cover.

List the types of plans that states offer to Medicaid recipients.

Discuss the claim filing procedures when a Medicaid recipient has other insurance coverage.

Prepare correct Medicaid claims.