MEDICAID PAYMENTS FOR 2025

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The document is an audit report by the Office of Inspector General (OIG) regarding Medicaid payments made by Michigan for beneficiaries who were concurrently eligible in both Michigan and Ohio. It highlights that Michigan inappropriately paid $843,228 for 617 beneficiaries who had established eligibility in Ohio, violating state residency requirements. The report emphasizes the lack of data sharing between states to identify changes in residency and recommends recovery of the overpayments, a review of first-month payments for concurrent eligibility, and improved procedures for tracking beneficiary movements.

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Who is eligible for a Medicaid spending card?

Who is eligible for a Medicaid Flex Card? Eligibility for a Medicaid Flex Card depends on a few factors: Age 65+: Most individuals who are 65 or older and enrolled in a qualifying Medicare Advantage plan may be eligible. Qualifying Disability: Those under 65 with certain disabilities may also qualify.

Who qualifies for the Medicaid Flex card?

To get a Medicare flex card, you must be eligible to enroll in a Medicare Advantage Plan that offers a flex card as a benefit. To be eligible for a Medicare Advantage plan, you must qualify for Original Medicare Parts A and B. This means you must be 65+ years of age or have a qualifying disability.

How much money can you make and still keep Medicaid?

Continued Medicaid Eligibility (Section 1619(B)) STATETHRESHOLD CALIFORNIA $64,517 COLORADO $60,307 CONNECTICUT $61,000 DELAWARE $58,28647 more rows

Who are Medicaid payments made to?

State Medicaid programs (or the states contracted Medicaid managed care organizations (MCOs)) pay hospitals through a combination of base payments for services and supplemental payments.

How does Medicaid spending work?

In addition to state general funds appropriated directly to the Medicaid program, most states use funding from local governments or revenue collected from provider taxes and fees to help finance the state share of Medicaid.

What is not covered by Medicaid?

Medicaid coverage can vary from state to state, but here are some common services and items that are typically not covered: Elective cosmetic procedures: Cosmetic surgeries and procedures, such as cosmetic dentistry and non-medical weight loss procedures, that are not medically necessary are typically not covered.

What does Medicaid A pay for?

Federal law requires states to provide certain mandatory benefits and allows states the choice of covering other optional benefits. Mandatory benefits include services including inpatient and outpatient hospital services, physician services, laboratory and x-ray services, and home health services, among others.

What is the Medicaid spending allowance card?

A Medicaid Flex Card is a prepaid debit card designed to help cover specific health-related expenses. These cards are not provided by Original Medicare but are available through certain Medicare Advantage plans managed by private insurers. Heres a closer look at what this means for you.

MEDICAID PAYMENTS FOR 2025

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