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St. Andrews:Tthe Role of Medicaid in the Care of the Elderly


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St. Andrews:Tthe Role of Medicaid in the Care of the Elderly

  1. 1. St. Andrew’s Resources for Seniors System<br />The Role of Medicaid in the Care of the Elderly<br />
  2. 2. Goals of Session<br /><ul><li>Understand Medicaid
  3. 3. Be aware of the eligibility requirements
  4. 4. Have basic knowledge of what is covered by each service</li></li></ul><li>What is Medicaid?<br />The federal/state health care program for low income and disabled people<br />Can help pay for basic health care coverage<br />Can help pay for premiums, deductibles, and co-pays under Medicare<br />Pays for long-term nursing home cost<br />
  5. 5. Who is eligible?<br />3<br />There are criteria that must be met:<br />Status<br />Income<br />Resources<br />
  6. 6. Common Exempt Resources<br />Home<br />Household goods, personal effect and personal keepsakes<br />Car<br />Life insurance<br />Property essential to self support<br />Income producing property<br />Burial space<br />Prepaid burial plan<br />
  7. 7. What is covered?<br />Inpatient hospital<br />Outpatient hospital<br />Physician services<br />Medical and surgical dental services<br />Nursing facility services<br />Home health care<br />Lab and x-ray services<br />Clinic services<br />Intermediate care facility <br />Optometrist services and eyeglasses<br />Prescribed drugs<br />Prosthetic devices<br />Dental services<br />
  8. 8. Programs available?<br />Home and community based services<br />Helps people stay in their homes longer with services like homemaker chore or respite services<br />Program for all-inclusive care for the elderly (PACE)<br />Designed to give the frail elderly the help they need to delay or avoid nursing home care<br />
  9. 9. PACE Services<br />Medically urgent and non-emergent transportation<br />Physician services<br />Medication and pharmacy services<br />Dental care including dentures<br />Podiatry care<br />Eye and ear care<br />Ongoing rehab<br />
  10. 10. PACE Services<br />Hospital care<br />Assisted living and nursing home care <br />Home health and home chore assistance<br />Substance abuse counseling<br />Mental health care services<br />Nutritional services<br />Medical equipment<br />Planned social activities<br />