Twenty years of Medicare and Medicaid: Covered populations, use of 2025

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by reviewing the Enrollment section. Ensure you have the necessary documentation, such as your National Provider Identifier (NPI) and any required certifications.
  3. Fill out the provider information accurately, including your hospital type and specialty codes. This is crucial for proper enrollment.
  4. In the Benefits and Limitations section, carefully read through each benefit listed. Highlight any specific services that apply to your facility.
  5. Complete the Billing Medicaid Recipients section by noting any non-covered services that may apply to your claims.
  6. Review all entries for accuracy before submitting. Use our platform’s tools to sign and save your document securely.

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Medicaid is a joint federal and state program that, together with the Childrens Health Insurance Program (CHIP), provides health coverage to over 77.9 million Americans, including children, pregnant women, parents, seniors, and individuals with disabilities.
Of the subtypes of health insurance coverage, employment-based insurance was the most common, covering 53.7 percent of the population for some or all of the calendar year, followed by Medicaid (18.9 percent), Medicare (18.9 percent), direct-purchase coverage (10.2 percent), TRICARE (2.6 percent), and VA and CHAMPVA
In all states, Medicaid provides coverage for low-income people, including families and children, pregnant women, the elderly, and people with disabilities.
Medicaid is for certain individuals and families with low incomes and resources. Eligibility and benefits vary considerably from State to State. Medicare insurance is available for people age 65 or older, younger people with disabilities and people with End Stage Renal Disease.
In addition to children, pregnant women, and low-income elderly and disabled individuals, Medicaid covers working adults in low-wage jobs.

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Optional eligibility categories include children and parents, persons with disabilities and the elderly above mandatory coverage limits; persons residing in nursing facilities; and the medically needy. All states have expanded coverage to include optional populations.

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