Statements (187)
| Predicate | Object |
|---|---|
| gptkbp:instanceOf |
gptkb:government_agency
Medicaid program federal assistance program government health insurance program |
| gptkbp:abbreviation |
gptkb:Medicaid
|
| gptkbp:administeredBy |
gptkb:United_States_Department_of_Agriculture
gptkb:Centers_for_Medicare_&_Medicaid_Services gptkb:Food_and_Nutrition_Service state governments |
| gptkbp:allows |
states to test new approaches in Medicaid
states to provide home and community-based services states to provide managed care states to restrict provider choice states to target specific populations |
| gptkbp:alternativeName |
Medicaid_managed_care_program
Medicaid_waiver Medicaid_waiver_program Medicare_program WIC_program federal_health_insurance_program health_program healthcare_program public_health_insurance_program welfare_program |
| gptkbp:annualSpending |
over $700 billion (2022)
|
| gptkbp:approvedBy |
gptkb:Child_Nutrition_Act_of_1966
gptkb:Centers_for_Medicare_&_Medicaid_Services gptkb:Section_1915(c)_of_the_Social_Security_Act gptkb:Section_1115_of_the_Social_Security_Act Section 1915(b) of the Social Security Act |
| gptkbp:canBeTerminatedBy |
gptkb:government
gptkb:state_order |
| gptkbp:combines |
other waivers
|
| gptkbp:country |
gptkb:United_States
|
| gptkbp:covers |
children
pregnant women elderly prescription drugs home health care people with disabilities nursing home care physician services preventive care low-income individuals hospital services dental services (in some states) |
| gptkbp:duration |
typically 3-5 years
|
| gptkbp:eligibility |
age
pregnancy disability status household size income income-based nutritional risk |
| gptkbp:enables |
states to waive certain federal Medicaid requirements
cost containment innovative health care delivery states to target specific populations targeted services states to limit the number of participants in certain programs states to offer services not typically covered by Medicaid |
| gptkbp:enrollment |
gptkb:state_Medicaid_agencies
over 65 million (2023) over 80 million (as of 2023) over 70% of Medicaid beneficiaries (as of 2023) |
| gptkbp:established |
1965
1974 |
| gptkbp:establishedBy |
gptkb:Social_Security_Amendments_of_1965
|
| gptkbp:example |
gptkb:Home_and_Community-Based_Services_(HCBS)_waiver
1115 Demonstration waiver 1915(b) Freedom of Choice waiver 1915(c) HCBS waiver Managed Care waiver |
| gptkbp:excludes |
undocumented immigrants (except for emergency services)
|
| gptkbp:expandedUnder |
gptkb:Affordable_Care_Act
|
| gptkbp:expansion |
2014
|
| gptkbp:expansionCovers |
adults up to 138% of the federal poverty level
|
| gptkbp:fundedBy |
gptkb:government
state governments premiums general revenues payroll taxes |
| gptkbp:goal |
improve care coordination
improve quality of care control costs improve access to health care for vulnerable populations |
| gptkbp:governedBy |
gptkb:Title_XIX_of_the_Social_Security_Act
|
| gptkbp:impact |
millions of Medicaid beneficiaries
|
| gptkbp:includes |
gptkb:Medicaid_Managed_Care_Organizations
gptkb:Primary_Care_Case_Management |
| gptkbp:introducedIn |
1970s
1981 |
| gptkbp:legalBasis |
gptkb:Section_1915(c)_of_the_Social_Security_Act
gptkb:Section_1115_of_the_Social_Security_Act Section 1915(b) of the Social Security Act |
| gptkbp:Medicare_Part_A_covers |
hospital insurance
|
| gptkbp:Medicare_Part_B_covers |
medical insurance
|
| gptkbp:Medicare_Part_C_covers |
Medicare Advantage plans
|
| gptkbp:Medicare_Part_D_covers |
prescription drug coverage
|
| gptkbp:monitors |
gptkb:Centers_for_Medicare_&_Medicaid_Services
|
| gptkbp:notableFeature |
joint federal-state funding
largest source of health coverage in the U.S. mandatory and optional benefits state-level variation in benefits and eligibility |
| gptkbp:officialName |
gptkb:Special_Supplemental_Nutrition_Program_for_Women,_Infants,_and_Children
|
| gptkbp:operatesIn |
gptkb:American_Samoa
gptkb:District_of_Columbia gptkb:Guam gptkb:Northern_Mariana_Islands gptkb:Puerto_Rico gptkb:U.S._Virgin_Islands all 50 states |
| gptkbp:oversees |
gptkb:Centers_for_Medicare_&_Medicaid_Services_(CMS)
|
| gptkbp:part_of |
gptkb:Medicare_Part_C
gptkb:Medicare_Part_B Medicare Part D |
| gptkbp:participants |
over 6 million (as of 2022)
|
| gptkbp:partOf |
gptkb:Medicaid
|
| gptkbp:provides |
infant formula
breastfeeding support immunization screening referrals to health care supplemental foods vouchers for healthy foods |
| gptkbp:providesLongTermCare |
yes
|
| gptkbp:purpose |
nutrition assistance
nutrition education healthcare referrals provide Medicaid benefits through managed care organizations allow states flexibility in Medicaid program to allow states flexibility in providing Medicaid services |
| gptkbp:regulates |
gptkb:Centers_for_Medicare_&_Medicaid_Services
|
| gptkbp:relatedTo |
gptkb:Medicaid
gptkb:Medicare gptkb:Social_Security_Act gptkb:Children's_Health_Insurance_Program gptkb:Children's_Health_Insurance_Program_(CHIP) Social Security |
| gptkbp:renewable |
yes
|
| gptkbp:renewalPeriod |
annual or more frequently
|
| gptkbp:requires |
public notice and comment
federal approval budget neutrality for 1115 waivers |
| gptkbp:signedBy |
gptkb:Lyndon_B._Johnson
|
| gptkbp:sometimesCalled |
Medicaid demonstration waiver
Medicaid home and community-based waiver Section 1115 waiver Section 1915 waiver |
| gptkbp:stateSpecific |
yes
|
| gptkbp:subject |
federal oversight
state reporting requirements |
| gptkbp:targetAudience |
pregnant women
people with disabilities infants certain younger people with disabilities people aged 65 and older people with End-Stage Renal Disease low-income individuals elderly individuals breastfeeding women children up to age 5 children with special health care needs low-income Americans postpartum women |
| gptkbp:troopContributingCountries |
all 50 states and D.C.
|
| gptkbp:type |
means-tested program
Section 1915(c) Home and Community-Based Services Waivers Concurrent 1915(b) and 1915(c) Waivers Section 1115 Research and Demonstration Waivers Section 1915(b) Managed Care Waivers |
| gptkbp:updated |
gptkb:Healthy,_Hunger-Free_Kids_Act_of_2010
|
| gptkbp:usedFor |
behavioral health services
long-term services and supports addressing social determinants of health expanding eligibility integrating care for dual eligibles testing payment models |
| gptkbp:uses |
capitated payment model
|
| gptkbp:waiverPrograms |
gptkb:Section_1115_waivers
gptkb:Home_and_Community-Based_Services_(HCBS)_waivers |
| gptkbp:website |
https://www.medicaid.gov/
https://www.medicare.gov/ https://www.fns.usda.gov/wic |
| gptkbp:bfsParent |
gptkb:Aid_to_Dependent_Children
gptkb:Medicare gptkb:United_States_Department_of_Agriculture |
| gptkbp:bfsLayer |
4
|