Insurance & Benefits

Results: 9

• General Relief Applications (2)
  NL-1000.2500-250

  General Relief Applications

  NL-1000.2500-250
  
  County offices that accept applications and determine eligibility for the General Relief program which provides cash grants, assistance for people who are homeless, the means for an individual to return to his or her state of origin and cash allowances for targeted special needs. Also included are other programs that help people prepare and file General Relief applications and/or are authorized to do eligibility determinations for the program.
• Medicaid (5)
  NL-5000.5000

  Medicaid

  NL-5000.5000
  
  A combined federal and state program administered by the state that provides medical benefits for individuals and families with limited incomes who fit into an eligibility group that is recognized by federal and state law. Each state sets its own guidelines regarding eligibility and services within parameters established at the federal level. Many people are covered by Medicaid, though within these groups, certain additional requirements must be met. Eligibility factors include people's age, whether they are pregnant, have a disability, are blind, or aged; their income and resources (like bank accounts, real property or other items that can be sold for cash); and whether they are U.S. citizens or lawfully admitted immigrants. Families who are receiving benefits through TANF and individuals who receive SSI as aged, blind and disabled are categorically eligible groups. The rules for counting a person's income and resources vary from state to state and from group to group. There are special rules for those who live in nursing homes, for people served under the Medicaid Waiver program, for people served by Program of All-Inclusive Care for the Elderly (PACE) programs and for children with disabilities living at home. Medicaid makes payments directly to a person's health care provider; and some recipients may be asked to pay a small part of the cost (co-payment) for some medical services. Most states have additional "state-only" programs to provide medical assistance for specified low-income persons who do not qualify for the Medicaid program.
• Medicaid Appeals/Complaints (4)
  NL-5000.5000-500

  Medicaid Appeals/Complaints

  NL-5000.5000-500
  
  Programs that are responsible for hearing appeals and resolving complaints that have been filed by people who have applied for or who are receiving services through Medicaid and believe that they have been discriminated against, that their rights have been violated or that the state or county has failed to take appropriate action with respect to their application or benefits.
• Medicaid Applications (7)
  NL-5000.5000-520

  Medicaid Applications

  NL-5000.5000-520
  
  County or state offices that accept applications and determine eligibility for the Medicaid program; and reinstate individuals who have lost their Medicaid benefits due to incarceration, institutionalization, noncompliance or other reasons. Also included are other programs that help people prepare and file Medicaid applications and/or are authorized to do eligibility determinations for the program.
• Medicaid Prior Authorization (1)
  NL-5000.5000-650

  Medicaid Prior Authorization

  NL-5000.5000-650
  
  County or state offices that review requests for health care which require prior approval in order for Medicaid to be used as a payment source.
• Social Security Disability Insurance Appeals/Complaints (2)
  NS-1800.8000-800

  Social Security Disability Insurance Appeals/Complaints

  NS-1800.8000-800
  
  Programs that are responsible for hearing appeals and resolving complaints that have been filed by people who have applied for or are receiving assistance through the Social Security Disability program and believe that they have been discriminated against, that their rights have been violated or that the Social Security Administration has failed to take appropriate action with respect to their application or benefits.
• Social Security Disability Insurance Applications (2)
  NS-1800.8000-820

  Social Security Disability Insurance Applications

  NS-1800.8000-820
  
  Social Security offices that accept applications and determine eligibility for the Social Security Disability Insurance (SSDI) program; and reinstate individuals who have lost their SSDI benefits due to incarceration, institutionalization, noncompliance or other reasons. Also included are other programs that help people prepare and file Social Security Disability Insurance applications and/or are authorized to do eligibility determinations for the program.
• SSI Applications (4)
  NL-1000.8100-820

  SSI Applications

  NL-1000.8100-820
  
  Social Security offices that accept applications and determine eligibility for the Supplemental Security Income (SSI) program; and reinstate individuals who have lost their SSI benefits due to incarceration, institutionalization, noncompliance or other reasons. Also included are other programs that help people prepare and file SSI applications and/or are authorized to do eligibility determinations for the program.
• State Medicaid Waiver Programs (2)
  NL-5000.5000-800

  State Medicaid Waiver Programs

  NL-5000.5000-800
  
  Medicaid programs offered by states that have been authorized by the Secretary of the U.S. Department of Health and Human Services (HHS) to waive certain Medicaid statutory requirements giving them more flexibility in Medicaid program operation. Included are home and community care based (HCBC) waiver programs operated under Section 1915(c) of the Social Security Act that allow long-term care services to be delivered in community settings; managed care/freedom of choice waiver programs operated under Section 1915(b) of the Social Security Act which allow states to implement managed care delivery systems or otherwise limit individuals' choice of provider under Medicaid; and research and demonstration project waiver programs operated under Section 1115 of the Social Security Act to projects that test policy innovations likely to further the objectives of the Medicaid program. Each of the states has developed waivers to meet their needs; and while every state's waiver programs have their own unique characteristics, there may also be common threads.