Comment savoir si je suis éligible à Medicaid ?

L'éligibilité dépend de votre revenu, de votre situation familiale et de votre état de résidence.

Quels documents sont nécessaires pour s'inscrire ?

Vous aurez besoin de preuves de revenu, d'identité et de résidence, comme des fiches de paie.

Comment vérifier mon statut Medicaid ?

Vous pouvez vérifier votre statut en contactant votre bureau Medicaid local ou en ligne.

Y a-t-il des tests médicaux pour l'inscription ?

Non, l'inscription à Medicaid ne nécessite pas de tests médicaux, mais des informations financières.

Comment signaler un changement de situation ?

Signalez tout changement de revenu ou de situation familiale à votre bureau Medicaid local rapidement.

Quels services sont couverts par Medicaid ?

Medicaid couvre les soins hospitaliers, les visites chez le médecin, et les médicaments prescrits.

Medicaid couvre-t-il les soins dentaires ?

Oui, Medicaid couvre certains soins dentaires, mais cela varie selon l'état.

Y a-t-il des limites de couverture ?

Oui, certaines limites peuvent s'appliquer, comme des plafonds sur les soins spécifiques.

Medicaid couvre-t-il les soins de santé mentale ?

Oui, Medicaid couvre les services de santé mentale, y compris la thérapie et les médicaments.

Les soins préventifs sont-ils inclus ?

Oui, Medicaid inclut des soins préventifs comme les vaccinations et les dépistages.

Medicaid propose-t-il des programmes de prévention ?

Oui, Medicaid offre des programmes de prévention, y compris des dépistages et des conseils.

Comment bénéficier des soins préventifs ?

Prenez rendez-vous avec un fournisseur de soins qui accepte Medicaid pour des soins préventifs.

Y a-t-il des vaccinations couvertes par Medicaid ?

Oui, Medicaid couvre les vaccinations recommandées pour les enfants et les adultes.

Medicaid soutient-il les programmes de santé communautaire ?

Oui, Medicaid soutient divers programmes de santé communautaire pour améliorer l'accès aux soins.

Comment accéder aux ressources de prévention ?

Contactez votre bureau Medicaid local pour des informations sur les ressources de prévention disponibles.

Comment accéder aux traitements médicaux avec Medicaid ?

Vous devez choisir un fournisseur de soins qui accepte Medicaid pour accéder aux traitements.

Medicaid couvre-t-il les médicaments sur ordonnance ?

Oui, Medicaid couvre de nombreux médicaments sur ordonnance, selon les formulaires de chaque état.

Puis-je choisir mon médecin avec Medicaid ?

Vous pouvez choisir un médecin, mais il doit être inscrit dans le réseau Medicaid de votre état.

Y a-t-il des frais à payer pour les traitements ?

Des frais minimes peuvent s'appliquer, mais Medicaid vise à réduire les coûts pour les bénéficiaires.

Comment renouveler ma couverture Medicaid ?

Vous devez renouveler votre couverture chaque année en fournissant des informations à jour.

Quelles complications peuvent survenir avec Medicaid ?

Des complications peuvent inclure des retards dans l'accès aux soins ou des refus de traitement.

Comment gérer les refus de traitement ?

Vous pouvez contester un refus de traitement en contactant votre bureau Medicaid pour des recours.

Y a-t-il des risques de fraude avec Medicaid ?

Oui, la fraude peut se produire, il est important de signaler toute activité suspecte.

Comment éviter les complications liées à Medicaid ?

Restez informé sur vos droits et obligations, et communiquez régulièrement avec votre fournisseur.

Medicaid peut-il affecter d'autres assurances ?

Oui, Medicaid peut interagir avec d'autres assurances, il est important de comprendre ces interactions.

Qui est le plus à risque de ne pas être couvert par Medicaid ?

Les personnes à faible revenu, les sans-abri et celles sans emploi sont souvent à risque.

Quels facteurs influencent l'éligibilité à Medicaid ?

Le revenu, la taille de la famille et l'état de résidence sont des facteurs clés d'éligibilité.

Les personnes âgées ont-elles un risque accru ?

Oui, les personnes âgées peuvent avoir un risque accru de ne pas être couvertes par Medicaid.

Les enfants sont-ils plus susceptibles d'être couverts ?

Oui, Medicaid a des programmes spécifiques pour couvrir les enfants à faible revenu.

Comment les changements économiques affectent-ils Medicaid ?

Les crises économiques peuvent augmenter le nombre de personnes éligibles à Medicaid en raison de la perte d'emploi.

Medicaid (USA) - Informations médicales vérifiées

Addressing housing-related social needs for Medicaid beneficiaries: a qualitative assessment of Maryland's Medicaid §1115 waiver program.

18 Sep 2023

DOI: 10.1186/s12913-023-10001-z PMID: 37718457

While health care payers are increasingly considering approaches that help support stable and affordable housing for their beneficiaries, experience with these initiatives is limited. Through its §111... The study focused on key stakeholders employed by the four Lead Entities that currently participate in the ACIS program. The stakeholders included members of each Lead Entity's administration, direct ... A total of 23 interviews were conducted between February 2022 and May 2022, representing a broad range of stakeholders across different Maryland geographies. A total of 4 themes were identified throug... The findings of this study helps to highlight Medicaid §1115 waivers as a novel approach to using Medicaid funds to support tenancy-based services, such as ACIS and to improve the lives of individuals...

United States Humans Housing Maryland Medicaid +2 autres

Coverage and Access Changes During Medicaid Unwinding.

07 Jun 2024

DOI: 10.1001/jamahealthforum.2024.2193 PMID: 38943683

States resumed Medicaid eligibility redeterminations, which had been paused during the COVID-19 public health emergency, in 2023. This unwinding of the pandemic continuous coverage provision raised co... To assess early changes in insurance and access to care during Medicaid unwinding among individuals with low incomes in 4 Southern states.... This multimodal survey was conducted in Arkansas, Kentucky, Louisiana, and Texas from September to November 2023, used random-digit dialing and probabilistic address-based sampling, and included US ci... Medicaid enrollment at any point since March 2020, when continuous coverage began.... Self-reported disenrollment from Medicaid, insurance at the time of interview, and self-reported access to care. Using multivariate logistic regression, factors associated with Medicaid loss were eval... The sample contained 2210 adults (1282 women [58.0%]; 505 Black non-Hispanic individuals [22.9%], 393 Hispanic individuals [17.8%], and 1133 White non-Hispanic individuals [51.3%]) with 2022 household... The results of this survey study indicated that 6 months into unwinding, 1 in 8 Medicaid beneficiaries reported exiting the program, with wide state variation. Roughly half who lost Medicaid coverage ...

Humans Medicaid United States Health Services Accessibility Adult +8 autres

Paying for Medical and Social Complexity in Massachusetts Medicaid.

05 09 2023

DOI: 10.1001/jamanetworkopen.2023.32173 PMID: 37669052

The first MassHealth Social Determinants of Health payment model boosted payments for groups with unstable housing and those living in socioeconomically stressed neighborhoods. Improvements were desig... To develop a model that ensures payments largely follow observed costs for members with complex health and/or social risks.... This cross sectional study used administrative data for members of the Massachusetts Medicaid program MassHealth in 2016 or 2017. Participants included members who were eligible for MassHealth's manag... Model 1 used age-sex categories, a diagnosis-based morbidity relative risk score (RRS), disability, serious mental illness, substance use disorder, housing problems, and neighborhood stress. Model 2 a... Total 2017 annual cost was modeled and overall model performance (R2) and fair pricing of subgroups evaluated using observed-to-expected (O:E) ratios.... Among 1 323 424 members, mean (SD) age was 26.4 (17.9) years, 53.4% were female (46.6% male), and mean (SD) 2017 cost was $5862 ($15 417). The R2 for models 1, 2, and 3 was 52.1%, 51.5%, and 60.3%, re... In this cross-sectional study of data from Massachusetts Medicaid, careful modeling of social and medical risk improved model performance and mitigated underpayments to safety-net systems....

Child United States Humans Female Male +5 autres

Loss of Medicaid Coverage During the Renewal Process.

03 May 2024

DOI: 10.1001/jamahealthforum.2024.0839 PMID: 38700852

Medicaid beneficiaries must periodically redemonstrate their eligibility in a process that is called renewal, redetermination, or recertification. The number and characteristics of people who lose Med... To measure the proportion of people who lose Medicaid coverage at the renewal deadline, overall and by enrollee characteristics, and time until regaining Medicaid coverage among those losing coverage ... This cohort study tracked the duration of Medicaid enrollment among Wisconsin Medicaid enrollees with a 12-month renewal deadline. Data were collected for all nonelderly (aged <65 years) new enrollees... The primary outcome was coverage loss during the renewal process, defined as a loss in Medicaid coverage from month 12 to month 13 for people who were still enrolled at the start of month 12. Secondar... The study sample included 684 245 Medicaid enrollment spells across 586 044 people (51% female and 47% children 18 years or younger). Among enrollees, 20% lost Medicaid coverage at the renewal deadlin... In this cohort study, the risk of coverage loss during the Medicaid renewal process was associated with age, past use of care, and other personal characteristics. These findings shed light on how rene...

Humans Medicaid United States Female Male +9 autres

Medicaid Expansion and Restriction Policies for Hepatitis C Treatment.

01 Jul 2024

DOI: 10.1001/jamanetworkopen.2024.22406 PMID: 39012632

Hepatitis C can be cured with direct-acting antivirals (DAAs), but Medicaid programs have implemented fibrosis, sobriety, and prescriber restrictions to control costs. Although restrictions are easing... To estimate the association of jurisdictional (50 states and Washington, DC) DAA restrictions and Medicaid expansion with the number of Medicaid recipients with filled prescriptions for DAAs.... This cross-sectional study used publicly available Medicaid documents and claims data from January 1, 2014, to December 31, 2021, to compare the number of unique Medicaid recipients treated with DAAs ... Jurisdictional Medicaid expansion status and fibrosis, sobriety, and prescriber DAA restrictions.... Number of people treated with DAAs per 100 000 Medicaid recipients per year.... A total of 381 373 Medicaid recipients filled DAA prescriptions during the study period (57.3% aged 45-64 years; 58.7% men; 15.2% non-Hispanic Black and 52.2% non-Hispanic White). Medicaid nonexpansio... In this cross-sectional study, Medicaid nonexpansion status, fibrosis, and sobriety restrictions were associated with a reduction in the number of people with Medicaid who were treated for hepatitis C...

Humans Medicaid United States Cross-Sectional Studies Antiviral Agents +7 autres

Medicaid policy data for evaluating eligibility and programmatic changes.

03 Oct 2023

DOI: 10.1186/s13104-023-06525-6 PMID: 37789360

Medicaid and the Children's Health Insurance Program (CHIP) provide health insurance coverage to more than 90 million Americans as of early 2023. There is substantial variation in eligibility criteria... Our source data were the 50-state surveys of Medicaid and CHIP eligibility, enrollment, and cost-sharing policies, and budgets conducted near annually by KFF since 2000, which we coded through 2020. T...

Child Humans United States Medicaid Child Health Services +5 autres

Prevalence, Medicaid use and mortality risk of low FEV

15 May 2024

DOI: 10.1136/bmjresp-2023-001918 PMID: 38749533

The prevalence, Medicaid use and mortality risk associated with low forced expiratory volume in 1 s (FEV... A retrospective cohort study was conducted among young adults aged 20-35 years old, using data from the National Health and Nutrition Examination Survey, National Death Index and Centers for Medicare ... A total of 5346 participants aged 20-35 were included in the study, with 329 in the low FEV... A considerable portion of young adults demonstrated low FEV...

Humans Adult United States Retrospective Studies Male +8 autres

The impact of Medicaid expansion and travel distance on access to transplantation.

Mar 2024

DOI: 10.1016/j.jhealeco.2024.102858 PMID: 38232446

Most transplant centers require candidates be insured before they can join the waitlist for a deceased donor organ. After the Affordable Care Act, many uninsured Americans gained improved access to Me...

Humans United States Medicaid Patient Protection and Affordable Care Act Insurance Coverage +3 autres

Medicaid Managed Care and Pediatric Dental Emergency Department Visits.

07 Jun 2024

DOI: 10.1001/jamahealthforum.2024.1472 PMID: 38874960

Millions of economically disadvantaged children depend on Medicaid for dental care, with states differing in whether they deliver these benefits using fee-for-service or capitated managed care payment... To estimate the association between the adoption of managed care for dental services in Florida's Medicaid program and nontraumatic dental emergency department visits and associated charges.... This cohort study used an event-study difference-in-differences design, leveraging Florida Medicaid's staggered adoption of managed care to examine its association with pediatric nontraumatic dental e... The county of residence transitioning Medicaid dental services from fee-for-service to a fully capitated managed care program managed by a dental plan.... The rate of nontraumatic dental emergency department visits per 100 000 pediatric Medicaid enrollees and the associated mean charges per visit. Nontraumatic dental emergency department visits are a we... Among the 34 414 pediatric nontraumatic dental emergency department visits that met inclusion criteria across Florida's 67 counties, the mean (SD) age of patients was 8.11 (5.28) years, and 50.8% of p... In this cohort study, Florida Medicaid's adoption of managed care for pediatric dental services was associated with increased emergency department visits for children, which could be associated with d...

Humans Medicaid Emergency Service, Hospital United States Florida +11 autres

Public Views on Medicaid Work Requirements and Mandatory Premiums in Kentucky.

06 10 2023

DOI: 10.1001/jamahealthforum.2023.3656 PMID: 37862033

Federal and state policymakers continue to pursue work requirements and premiums as conditions of Medicaid participation. Opinion polling should distinguish between general policy preferences and spec... To identify views of adults in Kentucky regarding the design of Medicaid work requirements and premiums.... A cross-sectional survey was conducted via telephone and the internet from June 27 through July 11, 2019, of 1203 Kentucky residents 9 months before the state intended to implement Medicaid work requi... Agreement, disagreement, or neutral views on policy components were the main outcomes. Recruitment for the survey used statewide random-digit dialing and an internet panel to recruit residents aged 18... Percentages were weighted to resemble the adult population of Kentucky residents. Of the participants in the study, 52% (95% CI, 48%-55%) were women, 80% (95% CI, 77%-82%) were younger than 65 years, ... This study suggests that even when public constituencies express general support for Medicaid work requirements or premiums, they may oppose central design features, such as quotas and termination of ...

Adult Female Humans Male Cross-Sectional Studies +7 autres

Medicaid (USA) : Questions médicales fréquentes

Questions fréquentes et termes MeSH associés

Diagnostic 5

Symptômes 5

Prévention 5

Traitements 5

Complications 5

Facteurs de risque 5

Contenu validé par Dr Olivier Menir

Auteurs principaux

Sources (527 au total)