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Federal rules for Medicaid benefits generally apply to Guam, and its Medicaid program provides all mandatory benefits and many optional benefits, including dental coverage and prescription drugs (CMS 2016d). Guam is the only territory that covers all mandatory benefits, including nursing facility services.
Once a territory exhausts its capped federal funds, it no longer receives federal financial support for its Medicaid program during that fiscal year. Over time, Congress has provided increases in federal funds for the territories broadly and in response to specific emergency events.
Medicaid Overview Guam became a territory in 1950 and its Medicaid program was established in 1975. It is a 100% fee-for-service delivery system with two hospitals currently servicing the territory.
Guam provides Medicare cost-sharing assistance to dually eligible individuals who are eligible for full Medicaid benefits.
The following are the new Guam Medicaid poverty level income guidelines: Household size: 1 - Monthly gross income: $1,595. Household size: 2 - Monthly gross income: $2,156. Household size: 3 - Monthly gross income: $2,715.
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If you have Original Medicare, you have coverage anywhere in the U.S. and its territories. This includes all 50 states, the District of Columbia, Puerto Rico, the Virgin Islands, Guam, American Samoa, and the Northern Mariana Islands.
Federal rules for Medicaid benefits generally apply to Guam, and its Medicaid program provides all mandatory benefits and many optional benefits, including dental coverage and prescription drugs (CMS 2016d).
The following are the new Guam Medicaid poverty level income guidelines: Household size: 1 - Monthly gross income: $1,595. Household size: 2 - Monthly gross income: $2,156. Household size: 3 - Monthly gross income: $2,715.
Medicaid Overview Guam became a territory in 1950 and its Medicaid program was established in 1975. It is a 100% fee-for-service delivery system with two hospitals currently servicing the territory.
Federal Poverty Level thresholds to qualify for Medicaid The Federal Poverty Level is determined by the size of a family for the lower 48 states and the District of Columbia. For example, in 2022 it is $13,590 for a single adult person, $27,750 for a family of four and $46,630 for a family of eight.

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