What Does Medicaid Insurance Cover
Medicaid covers a wide variety of health care needs. Some types of coverage are mandated by law, while other services are optional. The exact types of coverage may vary depending on the state you live in. No matter where you live, Medicaid is required to cover services such as:
- Inpatient and outpatient hospital care.
- Home health care.
How Can I Qualify For Medicaid In Kansas
More than 400,000 Kansans qualified for Medicaid at the end of 2016, but the process is not easy. Kansas did not implement the expansion of Medicaid under the Affordable Care Act passed in 2010. So, adults with no dependent children do not qualify. Parents or caretakers with a Modified Adjusted Gross Income at or below 33% of the poverty guidelines qualify.
Apply For Medicaid In Kansas
Children and families can apply online or complete an application in English and Spanish. Elderly or disabled individuals can apply online or complete an application in English and Spanish. Anyone needing assistance with the application process can call 1-888-369-4777 for help.
Eligibility: Children up to age 1 with family income up to 166% of FPL. Children ages 1-5 with family income up to 149% of FPL. Children ages 6-18 with family income up to 133% of FPL children with family income up to 242% of FPL are eligible for CHIP. See the eligibility guidelines for those who are elderly or disabled.
You May Like: Will Medicaid Pay For Braces For Adults
Unitedhealthcare Connected For Mycare Ohio
UnitedHealthcare Connected® for MyCare Ohio is a health plan that contracts with both Medicare and Ohio Medicaid to provide benefits of both programs to enrollees. If you have any problem reading or understanding this or any other UnitedHealthcare Connected® for MyCare Ohio information, please contact our Member Services at from 7 a.m. to 8 p.m. Monday through Friday for help at no cost to you.
Si tiene problemas para leer o comprender esta o cualquier otra documentación de UnitedHealthcare Connected® de MyCare Ohio , comuníquese con nuestro Departamento de Servicio al Cliente para obtener información adicional sin costo para usted al de lunes a viernes de 7 a.m. a 8 p.m. .
Compare Modified Adjusted Gross Income And Poverty Guidelines
Calculate MAGI by removing certain deductions, such as IRA , education, and tuition, from Adjusted Gross Income . Find your AGI on prior year tax forms . Calculate federal poverty guidelines by household size. For example, in 2018 the poverty guideline for a family of three is $ 20,780. But determining whether you qualify for Medicare is more complicated than comparing MAGI to the poverty guidelines. The Centers for Medicare and Medicaid Services published a 138-page manual on calculating income to be eligible for Medicaid. You must determine whose income applies, what income to count, and over what period. Besides income, other family assets and resources may make you ineligible.
Recommended Reading: Priority Health Medicaid Find A Doctor
Unitedhealthcare Dual Complete Plans
Plans are insured through UnitedHealthcare Insurance Company or one of its affiliated companies, a Medicare Advantage organization with a Medicare contract and a contract with the State Medicaid Program. Enrollment in the plan depends on the plans contract renewal with Medicare. This plan is available to anyone who has both Medical Assistance from the State and Medicare. This information is not a complete description of benefits. Call TTY 711 for more information. Limitations, co-payments, and restrictions may apply. Benefits, premiums and/or co-payments/co-insurance may change on January 1 of each year.
Where Can I Apply For Medicaid In Kansas
Medicaid is administered by the Kansas Department of Health and the Environment. You can request an application for Medicaid ABD or an MSP by calling call 800-792-4884. This website contains more information about applying for Medicaid in Kansas.
Josh Schultz has a strong background in Medicare and the Affordable Care Act. He coordinated a Medicare technical assistance contract at the Medicare Rights Center in New York City, where he represented clients in extensive Medicare claims and appeals. In addition to advocacy work, Josh helped implement health insurance exchanges at the technology firm hCentive. He has also held consulting roles, including at Sachs Policy Group, where he worked with hospital, insurer and technology clients.
Also Check: Does Medicaid Cover Paragard Iud
What Does Medicaid Cover
Medicaid coverage varies from state to state, with some states covering more services than others , but at minimum, every plan is supposed to cover certain essential services:
Who Pays For Medicaid
Both your state government and the federal government act as insurers in this case . The way its set up, the federal government pays at least half of those bills, while the state government pays no more than half of those bills. In some states, Medicaid beneficiaries have to pay small fees for certain services.
Don’t Miss: What Is The Household Income Limit For Medicaid
Top Rated Assisted Living Communities By City
For persons with limited financial resources, Medicaid pays for nursing home care. For those who wish to live at home or in assisted living, sometimes Medicaid will pay for care in those locations if it can be obtained at a lower cost than in a nursing home. It does this through Medicaid Waivers, which are also called Home and Community Based Services Waivers or Waiver Funded Services.
Impact Of Home Ownership On Medicaid Eligibility Considering Marital Status & Medicaid Type
When applying for Medicaid long term care, many families are concerned they will not be eligible due to home ownership or will have to give up their home to qualify. For most Medicaid applicants, neither of these is true. The good news is most applicants can retain their home and qualify for Medicaid. The bad news is that home ownership as it relates to Medicaid eligibility is confusing and, if not managed properly, can result in a family losing their home. There are a variety of factors that determine whether a home will impact eligibility including marital status, the number of applicants, the type of Medicaid program, the home equity value and the state of residence.
Also Check: Which Eye Doctor Takes Medicaid
How To Use Your Kansas Medicaid Plan For Drug Rehab
To use your Kansas Medicaid plan for a drug rehab center, you first need to choose a health plan thats best for your behavioral and mental health needs.
Kansas Medicaid operates under three health plans, otherwise known as managed care organizations .
Choose one of the following:
- Aetna
- Sunflower Health Plan
- UnitedHealthcare
Be sure to select a plan that covers the programs and services you need for drug or alcohol addiction treatment. Once youre enrolled in a plan, you can start treatment right away.
Behavioral Health Group Multiple Locations
This is an outpatient treatment center offering counseling, intensive outpatient programs , and medication-assisted treatment using methadone and Suboxone.
There are six BHG locations in Kansas, but not all accept Medicaid. KanCare is accepted at Overland Park and one of the two Kansas City rehab centers.
Top qualities of BHG include:
- accreditation from the Joint Commission
- accreditation from the Commission on Accreditation of Rehabilitation Facilities
- LegitScript certification
Don’t Miss: How To Add New Baby To Medicaid
Who Is Eligible For Medicaid In Kansas
Medicaid programs and eligibility vary widely across the country. The federal government sets minimum eligibility levels for specific populations, but states can choose to set their eligibility levels higher than the federal minimums. All states are required to provide Medicaid to certain populations like low-income children to qualify for federal Medicaid funding. States that opt to cover additional populations are eligible for additional funding.
Unfortunately for low-income adult residents, the existing Kansas Medicaid program is quite limited.
Kansas is one of 12 states that has not yet implemented Medicaid expansion for adults with income up to 138% of the federal poverty level. As a result, childless, non-disabled, non-elderly adults are not eligible for coverage regardless of how low their income is, and parents with dependent children can only qualify if they live in extreme poverty.
Individuals who meet the following income limits qualify for Medicaid in Kansas:
Whats The Difference Between Medicaid And Obamacare
Medicaid: The health insurance program is provided and run by the government.
Obamacare: This is the nickname for the Affordable Care Act, President Obamas health care reform bill that became law in 2010. The ACA expanded the Medicaid program and created subsidies so more people could afford health insurance. When people say I have Obamacare, what they actually mean is Im covered by a health plan made available through Obamacare. The government doesnt run Obamacare plans, but it helps you find affordable coverage through its health insurance exchange . In some cases, though, you may qualify for an Obamacare subsidy to help you pay part of your monthly health insurance premiums.
Important to note: plans offered by private insurers through the Marketplace sometimes differ from healthcare plans that those same private insurers offer outside the Marketplace . You can read more about those differences and why theyre different here.
Don’t Miss: How Do You Know If You Still Have Medicaid
Learn About Other Programs
Children are also covered in Kansas Medicaid through a special childrens program. To qualify for coverage, children should be below 19 years of age and meet the guidelines related to citizenship and residency. According to Kansas Medicaid guidelines, resources or assets are not counted in the Child Medicaid program.
Kansas Medicaid eligibility requirements related to income require applicants to include all the income of individuals in the family. The income includes Social Security , unemployment benefits, self-employment and wages from a job. The income standards vary depending on the age of the child. The child can either be covered by:
- KanCare
- KenCare under CHIP Plan
Learn About Coverage For The Elderly
Presumptive Medical Disability is also offered to eligible citizens. Kansas Medicaid eligibility requirements for PMDT disability are based on Social Security disability guidelines. Applicants can either apply for KanCare or MediKan.
To be eligible for MediKan, applicants must be adults without minor children. The income is limited at $250 for a single person and $325 for a married couple. This program is fully funded by the state and has limited benefits of 12 months. If you apply for MediKan and get approved, you cannot get KanCare.
Other Medicaid Programs for the disabled include:
- Nursing facility medical programs
- Home and community based services
- PACE
Recommended Reading: What Does Medicaid Family Planning Services Cover
What Are The Medicaid Requirements
To qualify for Medicaid, you will need to meet certain requirements. Even though each state runs its own Medicaid program, many of the basic requirements are the same no matter where you live. To qualify for coverage, you generally must:
- Meet the income requirements in your state.
- Be a resident of the state where you are applying for help.
- Be a U.S. citizen or qualified non-citizen.
In some cases, you might automatically be eligible for coverage. For example, you are already qualified for Medicaid if you receive assistance such as Supplemental Security Income . Furthermore, in some states, you can qualify for Medicaid based on your income alone. However, depending on where you live, your eligibility might be based on factors such as your age, disability status or whether you are pregnant.
States may also extend eligibility to applicants who are considered medically needy even if they do not meet the other program requirements. For example, an individual with significant health care needs might qualify for coverage even if his or her income exceeds the limits of the program.
Note: Many states have expanded their Medicaid programs to cover more people. If you have been denied Medicaid coverage in the past and your state has expanded Medicaid, you may consider reapplying to see if you meet the new requirements.
Medicaid Spending In Kansas
This article does not contain the most recently published data on this subject. If you would like to help our coverage grow, consider donating to Ballotpedia.
| Medicaid spending in Kansas |
Kansas’Medicaid program provides medical insurance to groups of low-income people and individuals with disabilities. Medicaid is a nationwide program jointly funded by the federal government and the states. Medicaid eligibility, benefits, and administration are managed by the states within federal guidelines. A program related to Medicaid is the Children’s Health Insurance Program , which covers low-income children above the poverty line and is sometimes operated in conjunction with a state’s Medicaid program. Medicaid is a separate program from Medicare, which provides health coverage for the elderly.
This page provides information about Medicaid in Kansas, including eligibility limits, total spending and spending details, and CHIP. Each section provides a general overview before detailing the state-specific data.
HIGHLIGHTS
Also Check: How To Get In Touch With Medicaid
What Is The Least You Can Make To Get Medicaid
Medicaid is generally available to low-income adults in 36 states that expanded coverage under the Affordable Care Act. If your modified adjusted gross income falls below 138% of the federal poverty level, you are eligible for Medicaid. A family of four would spend $3,013 per month on that, or $1,467 per month for an individual.
Parents And Caregivers Of Children
Benefits are available through KanCare to parents of children under the age of 19. If children are living with relatives or other legal guardians, the program is open to those adults instead. The children must live in the same household as the adult applying for Medicaid coverage.
Income limits for this category are set by the state as listed in the table below.
|
Number of People on Plan |
Monthly Income Limit |
Enrollees may be required to cooperate with Child Support Enforcement if applicable.
Recommended Reading: I Am On Disability Can I Get Medicaid
Are Medicaid And Kancare The Same Thing
KanCare is a significant part of the Kansas Medicaid program. The KanCare program administers Medicaid benefits through a contract with three managed care organizations:
- Aetna
- Sunflower
- UnitedHealthcare
Managed care organizations attempt to provide effective health care services at a low cost by coordinating services and ensuring that enrollees receive preventative care.
Unitedhealthcare Connected Benefit Disclaimer
This is not a complete list. The benefit information is a brief summary, not a complete description of benefits. For more information contact the plan or read the Member Handbook. Limitations, copays and restrictions may apply. For more information, call UnitedHealthcare Connected® Member Services or read the UnitedHealthcare Connected® Member Handbook. Benefits, List of Covered Drugs, pharmacy and provider networks and/or copayments may change from time to time throughout the year and on January 1 of each year.
You can get this document for free in other formats, such as large print, braille, or audio. Call , TTY 711, 8 a.m. – 8 p.m., local time, Monday – Friday . The call is free.
You can call Member Services and ask us to make a note in our system that you would like materials in Spanish, large print, braille, or audio now and in the future.
Language Line is available for all in-network providers.
Puede obtener este documento de forma gratuita en otros formatos, como letra de imprenta grande, braille o audio. Llame al , TTY 711, de 08:00 a. m. a 08:00 p. m., hora local, de lunes a viernes correo de voz disponible las 24 horas del día,/los 7 días de la semana). La llamada es gratuita.
Puede llamar a Servicios para Miembros y pedirnos que registremos en nuestro sistema que le gustaría recibir documentos en español, en letra de imprenta grande, braille o audio, ahora y en el futuro.
Los servicios Language Line están disponibles para todos los proveedores dentro de la red.
Recommended Reading: I Am Pregnant And Need To Apply For Medicaid
Does Kansas Help With My Medicare Premiums
Many Medicare beneficiaries are eligible for help paying for coverage through a Medicare Savings Program . MSPs helps eligible Kansans pay for Medicare Part B premiums, Medicare Part A and B cost-sharing, and in some cases Part A premiums.
- Qualified Medicare Beneficiary : The upper income limit for QMB is $1,063 a month if single or $1,437 a month if married. QMB pays for Part A and B cost sharing, Part B premiums, and Part A premiums in instances where a beneficiary owes them.
- Low Income Medicare Beneficiary : The upper income limit for LMB is $1,276 a month if single or $1,724 a month if married. SLMB pays for Part B premiums.
- Expanded Low Income Medicare Beneficiary : The upper income limit for ELMB is $1,436 a month if single or $1,940 a month if married. QI pays for Part B premiums.
- Qualified Disabled Working Individuals : The income limit is $2,126 a month if living alone and $2,873 a month if living with another person. QDWI pays the Part A premiums owed by certain disabled beneficiaries who have returned to work.
MSP asset limits: Kansas uses the federal asset limit for QMB, SLMB and QI, which is $7,860 if single and $11,800 if married. The asset limit for QDWI is $4,000 if living alone and $6,000 if living with others.
