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https://learn.extension.org/events/3031
This material is based upon work supported by the National Institute of Food and Agriculture, U.S. Department of Agriculture, and the Office of Military
Family Readiness Policy, U.S. Department of Defense under Award Number 2015-48770-24.
Medicaid: Taking Stock of an
Essential Program in Uncertain Times

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Connecting military family service providers
and Cooperative Extension professionals to research
and to each other through engaging online learning opportunities
militaryfamilies.extension.org
MFLN Intro
Sign up for webinar email notifications at militaryfamilies.extension.org/webinars2

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Christopher Plein, Ph.D.
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• Professor of Public Administration
and Eberly Family Professor for
Outstanding Public Service at
West Virginia University
• Member of the MFLN- Military
Caregiving concentration team.
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Today’s Presenter

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June 2017

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 Current Trends and
Realities
 Origins and
Evolution of
Medicaid
 Future Possibilities
 Relevance to
Military Families

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 An insurance program that provides health
coverage for many who are low income
and/or have special health care needs.
 Operated at the state level with federal and
state funding.

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 Provides basic services
mandated by the
federal government.
 States may offer
additional optional
services.
 Medicaid programs
vary substantially from
state to state.

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 Eligibility and enrollment occurs at the state
level – and is not transferable across state
lines.
 Eligibility is usually based on income.
 Eligibility may also be based on health status.

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 Serves individuals across all
age groups
 Most accessible for children,
especially younger children.
 An essential component for
elder care, especially for
long-term care.

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 Medicaid is a major source of insurance in the
United States.
 Because of this, it shapes much of the
American health care delivery system.
 Primary and acute care services tend to be
more accessible than specialty care.

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 Under ACA, states have had the option to
“expand” Medicaid to new adult low income
populations.
 Approximately half the states have done this,
both blue and red.
 Medicaid is a “budget buster” at the state
level which creates fiscal strain and debate.

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 The program has also
gradually expanded
health care coverage to
Americans over its 50+
year history.
 It influenced the
development of the
Children’s Health
Insurance Program, now
in its 20th year.

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Over time, Medicaid has helped to shape new
health care delivery approaches, including:
 Managed care and medical homes
 Child and maternal health
 Home and Community Based Services.

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 There is active discussion to scale back or
repeal the ACA’s Medicaid expansion option
 There is also active consideration of work or
personal responsibility requirements for
able-bodied Medicaid recipients
 Medicaid has deeply entrenched and vested
interests (states, hospitals, insurers) that will
likely blunt the more radical reforms.

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 The Medicaid program costs
more than most states feel
they can afford, so services
and access may be limited.
 Conflict and debate –
balancing need and cost
have always been part of the
Medicaid picture

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 Military families are not insulated from the
civilian healthcare system.
 Care for family members with special
healthcare needs.
 Care for older family members in long-term
care situations.
 Transition and separation planning

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 Maximize services and resources offered by
DHA (TRICARE, ECHO) and the military
community.
 Recognize that families may be “dually-
eligible” for TRICARE and Medicaid.
 Identify resources that provide assistance to
families seeking to navigate Medicaid.

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 Understand long-term care options under
Medicaid and how they vary from state to
state.
 Recognize the importance of Home and
Community Based Care approaches to service
delivery.

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 Anticipate the care demands
of family members with
special needs.
 Consider economic situations
on separation.
 Think about long-term
retirement planning

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Medicaid is:
 An insurance program for low-income and
special needs populations.
 Administered by states using federal and
state funds.
 A resource for all families, including active
duty military families.

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Medicaid is:
 Varied: eligibility procedures, coverage
options, and service models vary across the
states
 Dynamic: subject to change due to political,
legal, economic, social, and practical factors.

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Medicaid is
 Stressed: The coverage and access dilemma,
and long term sustainability.

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Military OneSource. EFMP/Special Needs.
Includes links to and information on public
programs, resources, and more.
http://www.militaryonesource.mil/efmp
Follow our blogs and content at our MFLN
Military Caregiving site at
https://militaryfamilies.extension.org/military-
caregiving/

24.
One Survey, two different ways to receive a
certificate.
1. MFLN Military Caregiving concentration area is offering
1.0 CEU credit from the UT School of Social Work to
credentialed participants.
2. MFLN Certificate of Completion for providers interested
in receiving general training.
» To receive a CEU credit OR certificate of completion,
please complete the evaluation survey found at:
https://vte.co1.qualtrics.com/jfe/form/SV_9QtJ3isA4PqXyf3
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CEU Credit & Certificate
24

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» Title: Estate Planning for Families with Special
Needs
» Time: 11:00 a.m. - 12:30 p.m. ET
» Date: Tuesday, August 15, 2017
» Location: https://learn.extension.org/events/3012
For more information on MFLNMC go to:
https://militaryfamilies.extension.org/military-caregiving/
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Upcoming Event
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Connect with MFLN Military Caregiving Online!
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Military Families Learning Network

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MFLN Intro
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We invite MFLN Service Provider Partners
to our private LinkedIn Group!
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DoD
Branch Services
Reserve
Guard
Cooperative Extension

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https://militaryfamilies.extension.org/webinars/
28This material is based upon work supported by the National Institute of Food and Agriculture, U.S. Department of Agriculture, and the Office of Military Family
Readiness Policy, U.S. Department of Defense under Award Number 2015-48770-24368.

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Image Citations
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» Slide 3, Image: Christopher Plein, Ph.D. Photo Credit: Christopher Plein
» Images from slides (5, 7, 9, 12, 15, and 19) are purchased from iStockphoto by
Texas A&M AgriLife Extension Service and the Military Families Learning Network
(MFLN), under Member ID: 8085767.