Medicaid / Medicare Programs
DHS determines the eligibility for multiple healthcare coverage options through the publicly-funded state Medicaid program.
Those options include Affordable Care Coverage, Katie Beckett, Medicaid for Elders and Adults with Disabilities and Sherlock, which is Medicaid for working people with disabilities. We also determine eligibility for the Medicare Premium Payment Program for those with federal Medicare.
Information on all of these programs can be found on Executive Office of Health and Human Services website. Click here to learn more.
Hhs And The Office Of Population Affairs
The HHS is a U.S. federal administrative agency that describes its mission as enhancing the health and well-being of all Americans, by providing for effective health and human services and by fostering sound, sustained advances in the sciences underlying medicine, public health, and social services. The HHS has authority from the Congress to make and enforce regulations specific to health care. These regulations, known as rules, are binding for healthcare entities that accept federal funding. For all practical purposes, these healthcare entities include nearly every physician, medical office, clinic, and hospital as nearly all accept federally subsidized Medicare, Medicaid, and private insurance purchased on exchanges.
The HHS is comprised of agencies and divisions. The document in question, entitled Gender-Affirming Care and Young People, was prepared by the HHSs Office of Population Affairs , which resides within the Office of the Assistant Secretary for Health led by Dr. Rachel Levine. The OPA website describes its charter this way:
The Office of Population Affairs , in the Office of the Assistant Secretary for Health, administers the Title X family planning, Teen Pregnancy Prevention, and Embryo Adoption Awareness programs. OPA advises the Secretary and the Assistant Secretary for Health on a wide range of reproductive and adolescent health topics, including teen pregnancy prevention, family planning, and sterilization, as well as other population issues.
Can I Print My Card From The Web
Yes. If your computer is connected to a printer, you can print a paper copy of the Your Texas Benefits Medicaid card. You can see an electronic version using a smartphone or tablet.
Don’t Miss: Medicaid Where’s My Ride
Services Covered By Medicaid And Chip Perinatal
Both programs cover services like:
- Prenatal doctor visits.
- Labor and delivery.
- Checkups and other benefits for the baby after leaving the hospital.
These services are provided by health plans. If you get Medicaid or CHIP Perinatal, you will choose a health plan from the ones available in your service area.
Medicaid & Chip Members
Most Medicaid services and all Childrens Health Insurance Program services are delivered through health plans. If you have Medicaid or CHIP, your health plan makes sure you get the health care services you need.
If you have questions about your health care or your doctor, you should contact your health plan. Their phone number and website will be listed on your health plan ID card.
If you dont have a health plan and need help, call the Medicaid Helpline 800-335-8957.
Read Also: Does Medicaid Cover Glasses In Texas
Relationship With State And Local Health Departments
There are three tiers of health departments, the federal health department, state health department and local health department. In relation with state and local government, the federal government provides states with funding to ensure that states are able to retain current programs and are able to implement new programs. The coordination between all three health departments is critical to ensure the programs being implemented are well structured and suited to the corresponding level of health department. The health department at state level needs to safeguard good relations with legislators as well as governors in order to acquire legal and financial aid to guarantee the development and enhancements of the programs. Assemblies are set up to guide the relationships between state and local health departments. The state sets up the regulations and health policies whereas the local health departments are the ones implementing the health policies and services.
As of 2021, there are ten regional offices that have separated the states in groups of four to eight. These offices directly work with the state departments, local governments, and tribal councils. The directors from each regional office are appointed directly by the active president. The following individuals run each regional office.
- Region 1: Paul Jacobsen
- Connecticut, Maine, Massachusetts, New Hampshire, Rhode Island, and Vermont
What If I Lose My Card How Can I Get A New One
You can order a new card by phone or by visiting YourTexasBenefits.com‘s Medicaid Client Portal.
Read Also: Denture Places That Accept Medicaid
Department Of Health Education And Welfare
The Department of Health, Education, and Welfare was created on April 11, 1953, when Reorganization Plan No. 1 of 1953 became effective. HEW thus became the first new Cabinet-level department since the Department of Labor was created in 1913. The Reorganization Plan abolished the FSA and transferred all of its functions to the secretary of HEW and all components of the agency to the department. The first secretary of HEW was Oveta Culp Hobby, a native of Texas, who had served as commander of the Women’s Army Corps in World War II and was editor and publisher of the Houston Post. Sworn in on April 11, 1953, as secretary, she had been FSA administrator since January 21, 1953.
The six major program-operating components of the new department were the Public Health Service, the Office of Education, the Food and Drug Administration, the Social Security Administration, the Office of Vocational Rehabilitation, and St. Elizabeth’s Hospital. The department was also responsible for three federally aided corporations: Howard University, the American Printing House for the Blind, and the Columbia Institution for the Deaf .
The Us Health & Human Services Medicaid Office In Tallahassee Florida
The US Health & Human Services Medicaid Office is a Medicaid office you can apply at in Tallahassee, Florida. This facility is funded jointly by the federal government and the state government. You need to legally reside in Florida in order to apply for benefits at this facility. This is because you may only receive Medicaid benefits in your home state. Even though the US Health & Human Services Medicaid Office is required to follow state and federal guidelines regarding operation, it still maintains autonomy. This means that each Medicaid office in Florida may have rules that are slightly different from one another.
For example, one Medicaid office in Tallahassee may encourage you to schedule an appointment before you apply for benefits. An office in another city, however, may not. You may use the information below to help you understand which rules you need to follow when you apply for support at the US Health & Human Services Medicaid Office.
Don’t Miss: Does Anthem Medicaid Cover Dental
How Has Medicaid Health Care Changed
Expansion of Medicaid Eligibility. Since 2014, adults between the ages of 19 and 64 who are either not eligible for or enrolled in Medicare or receiving Supplemental Security Income have had access to Medicaid. If you are an adult in this age group and your monthly income for just you is at or below 138% of the federal poverty level a month , you may be eligible for Medicaid affordable care coverage through a Rhody Health Partners plan.
How to Apply. Medicaid and HealthSource RI work together using Rhode Islands state-of-the-art eligibility system created for health reform. This web-based system determines eligibility for most types of Medicaid and other forms of affordable coverage using a single, streamlined application. There may be instances in which you will have to fill out a longer application or complete additional forms, if you are looking for long-term care, for example. The good news is that HealthSource RI will point you in the right direction if that is what is best for you after asking just a few questions.
Income Standard. We use modified adjusted gross income or MAGI when determining Medicaid eligibility for families, children, pregnant women, and adults in the Medicaid expansion group. We can use electronic matches to verify your income in most cases, so you wont have to provide extra documentation.
What If I Have Questions About Or Problems With My Services
If you are receiving HHSC services and have questions about them, or if you are having problems with your services, call Texas 2-1-1 and choose the second option or talk with your case manager directly.
If this does not solve your problem, you can contact the HHSC Office of the Ombudsman. They are an independent group that makes sure that people who get HHSC services are being treated fairly. They will review your complaint and connect you with the right services or agencies that will help you.
You can contact them by:
Recommended Reading: United Healthcare Medicaid Dental Plan
I’m Not Sure If I Am In A Medicaid Program Or Not How Can I Find Out Which Program I’m In
You can find out if you have Medicaid by phone or through the web.
Note: If you are a legally authorized representative, you must click on the client drop-down menu on the upper right side, and choose a name from the list to see who has Medicaid and the plan and program names.
How Do I Know If My Child Is Due For A Texas Health Steps Checkup
Texas Health Steps will send you a letter when it’s time for your child’s medical and dental checkups. You can also visit YourTexasBenefits.com or call the number below to find out if your child is due for a checkup.
Don’t Miss: List Of Texas Medicaid Managed Care Plans
Family And Childrens Medicaid
- Covers children through age 20, parents and caretakers of minor children under the age of 18, and pregnant women who meet income requirements.
- Family Planning Program is designed to reduce unintended pregnancies and improve the well-being of children and families. Services are provided to eligible persons of any age who are ineligible for all other Medicaid programs.
- North Carolina Health Choice Health Insurance for Children provides reduced price comprehensive coverage for children six to 18 years whose family income meets certain limits but is too high to qualify for Medicaid.
Department Of Health & Human Services
The Department of Health, Education, and Welfare was renamed the Department of Health & Human Services in 1979, when its education functions were transferred to the newly created United States Department of Education under the Department of Education Organization Act. HHS was left in charge of the Social Security Administration, agencies constituting the Public Health Service, and Family Support Administration.
In 1995, the Social Security Administration was removed from the Department of Health & Human Services, and established as an independent agency of the executive branch of the United States Government.
The 2010 United States federal budget established a reserve fund of more than $630 billion over 10 years to finance fundamental reform of the health care system.
Don’t Miss: Phone Number For California Medicaid
I Have Breast Or Cervical Cancer And I Don’t Have Health Insurance
Medicaid for Breast and Cervical Cancer provides health care services for low-income women who have breast or cervical cancer.
Services include cancer treatment, lab tests, hospital care and service coordination provided by a nurse.
You must contact a Breast and Cervical Cancer Services provider who can help you apply.
The Health Insurance Portability And Accountability Act
This program is to ensure the accountability of medical professionals to respect and carry-out basic human health rights, under the act of the same name. In the United States, the government feels that it is essential for the American people to understand their civil duty and rights to all of their medical information. That includes: health insurance policies or medical records from every doctor or emergency visit in one’s life. Through Health & Human services one is able to file a complaint that their HIPAA rights have been violated or a consultant that will be able to decide if their rights were violated.
Read Also: How To Renew Medicaid Ny Online
Who Is Eligible For Medicaid
You may qualify for free or low-cost care through Medicaid based on income and family size.
In all states, Medicaid provides health coverage for some low-income people, families and children, pregnant women, the elderly, and people with disabilities. In some states the program covers all low-income adults below a certain income level.
- First, find out if your state is expanding Medicaid and learn what that means for you.
- If your state is expanding Medicaid, use this chart to see what you may qualify for based on your income and family size.
Even if you were told you didn’t qualify for Medicaid in the past, you may qualify under the new rules. You can see if you qualify for Medicaid 2 ways:
- Visit your state’s Medicaid website. Use the drop-down menu at the top of this page to pick your state. You can apply right now and find out if you qualify. If you qualify, coverage can begin immediately.
- Fill out an application in the Health Insurance Marketplace. When you finish the application, we’ll tell you which programs you and your family qualify for. If it looks like anyone is eligible for Medicaid and/or CHIP, we’ll let the state agency know so you can enroll.
How Do I Find My Main Doctor’s Name And Phone Number It’s Not On The Card Same With My Dentist How Do I Get This Information
- If you get your services through Medicaid medical or dental plans, you can get the name and phone number of your main doctor or dentist by calling your plan.
- If you don’t know your plan’s email address or phone number, call the number below. You also can get your plan’s phone number and mailing address on YourTexasBenefits.com.
- If you are 20 or younger, you’ll need to call your dental plan to find out about services or to get your dentist’s phone number and email address.
- If you are 21 or older, you don’t have a Medicaid dental plan. For answers to questions about Medicaid dental services, call your Medicaid medical plan.
You May Like: How Much Does Medicaid Pay For Hearing Aids
What If I Change My Mind About Sharing My Medicaid Health Information
You can opt in or opt out whenever you want. To change your settings, go to www.YourTexasBenefits.com and then:
You can also change your settings by calling 800-252-8263.
Office Of Inspector General
The Office of Inspector General, U.S. Department of Health and Human Services investigates criminal activity for HHS. The special agents who work for OIG have the same title series “1811” as other federal criminal investigators, such as the FBI, HSI, ATF, DEA and Secret Service. They receive their law enforcement training at the U.S. Department of Homeland Security’s Federal Law Enforcement Training Center in Glynco, Georgia. OIG Special Agents have special skills in investigating white collar crime related to Medicare and Medicaid fraud and abuse. Organized crime has dominated the criminal activity relative to this type of fraud.
HHS-OIG investigates tens of millions of dollars in Medicare fraud each year. In addition, OIG will continue its coverage of all 50 states and the District of Columbia by its multi-agency task forces that identify, investigate, and prosecute individuals who willfully avoid payment of their child support obligations under the Child Support Recovery Act.
HHS-OIG agents also provide protective services to the Secretary of HHS, and other department executives as necessary.
In 2002, the department released Healthy People 2010, a national strategic initiative for improving the health of Americans.
In 2015, the OIG issued a fraud alert as a warning to hospitals and healthcare systems to monitor and comply with their physician compensation arrangements.
Don’t Miss: Can You Have Va Benefits And Medicaid