Red Mod hit ch 8
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10 terms
Terms | Definitions |
|---|---|
 TITLE XIX OF THE SOCIAL SECURITY ACT OF 1965 ESTABLISHED | MEDICAID |
| MEDICAID IS ADMINISTERED BY | THE CENTERS FOR MEDICARE AND MEDICAID SERVICES |
| SSI IS A CASH BENFIT PROGRAM CONTROLLED BY | THE SOCIAL SECURITY ADMINISTRATION |
| CATEGORICALLY NEEDY INDIVIDUALS TYPICALLY INCLUDE | LOW-INCOME FAMILIES WITH CHILDREN, INDIVIDUALS RECEIVING SSI, PREGNANT WOMEN, INFANTS, AND CHILDREN WITH INCOMES LESS THAN A SPECIFIED PERCENT OF THE FPL |
| THE TERM USED FOR THE PROCESS OF DEPLETING PRIVATE OR FAMILY FINANCES TO THE POINT WHERE THE INDIVIDUAL/ FAMILY BECOMES ELIGIBLE FOR MEDICAID ASSITANCE IS CALLED | SPEND DOWN |
| THE PROGRAM THAT PROVIDES COMPREHENSIVE ALTERNATIVE CARE FOR NONINSTITUTIONALIZED ELDERLY WHO OTHERWISE WOULD BE IN A NURSING HOME IS KNOWN AS | PACE |
| MEDICAID COVERAGE SHOULD BE VERIFIED | NO LESS THAN ONCE A MONTH |
| AGED OR DISABLED INDIVIDUALS WHO ARE VERY POOR ARE COVERED UNDER THE MEDICAID AND MEIDCARE PROGRAMS, COMMONLY REFERRED TO AS | DUAL ELEGIBLES AND MEDI-MEDI |
| MEDICARE BENEFICIARIES WHO QUALIFY FOR CERTAIN MEDICAID BENEFITS IF THEY HAVE INCOME BELOW THE PFL AND RESOURCES AT OR BELOW TWICE THE STANDARD ALLOWED UNDER SSI PROGRAMS AE KNOWN AS | QMBs |
| WHEN ONE STATE ALLOWS MEDICAID AND BENEFICIARIES FRON OTHER STATES TO BE TREATED IN ITS MEDICAL FACILITIES THIS EXCHANGE OF PRIVILAGES IS REFERRED TO AS | RECIPOCITY |
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