Presentation - Medicaid Eligibility
WELCOME
MEDICAID MEMBER ADVISORY COMMITTEE
UNDERSTANDING MEDICAID ELIGIBILITY
&
THE RENEWAL PROCESS
PowerPoint version
Rev. 8.02.2021
THANK YOU!
Thank you for being part of the Medicaid Member Advisory Committee.
We hope this presentation will help you understand general Medicaid eligibility requirements, income
thresholds and the renewal process
3
Brief Overview
The federal agency, the Center for Medicare and Medicaid Services (CMS), oversees the general guidance of each state's Medicaid program.
Each state further defines their own laws and rules which govern the Medicaid program in that state.
DMAS is responsible for complying to the federal and state guidelines; we draft, publish and ensure the Medicaid policy and procedures are followed.
4
Income Guidelines
CMS provides the income guidelines used in the determination of eligibility.
Most income thresholds are updated annually, normally in late January. DMAS receives the information and updates the charts and computer systems which use this information.
Some income guidelines correspond to the cost of living adjustments (COLA) and may increase each annually.
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