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This material is based upon work supported by the National Institute of Food and Agriculture, U.S. Department of Agricultu...
POLL
How would you best describe your current employer?
This material is based upon work supported by the National Institute of Food and Agriculture, U.S. Department of Agricultu...
This material is based upon work supported by the National Institute of Food and Agriculture, U.S. Department of Agricultu...
The Military Caregiving Concentration team will offer 1.00
CE credit hour from NASW.
*Must complete evaluation and pass po...
WVU TRAINING MODULE 2
L. Christopher Plein, Ph.D.
Professor of Public Administration
Eberly Family Professor for Outstanding Public Service
West...
• Medicaid options for children with special needs
• Eligibility options through income or deeming
waivers
• Access to Hom...
• The Military Health System provides many
services and benefits for children with special
needs.
• Sometimes families nee...
• Families may turn to Medicaid because of
TRICARE coverage limits or because they will no
longer be receiving TRICARE.
• Medicaid can provide many benefits, both basic
coverage and more specialized services.
• Eligibility for Medicaid is usu...
• In many circumstances, family income will be
waived to allow children to have access to
Medicaid service.
• Commonly ref...
• States have different deeming procedures, these
will vary in terms of which agencies conduct
reviews, what standards tha...
• HCBS coverage and benefits are usually not
standard benefits offered under Medicaid.
• HCBS are usually offered through ...
• These are commonly called Health and
Community Based Services (HCBS) waivers.
• They provide care for individuals who wo...
Common Medicaid HCBS coverage includes:
• Respite care
• In-home skilled nursing
• Home health aide assistance
• Transport...
• HCBS waiver programs are not uniform across the
states, or even within some states.
• Procedures for determining eligibi...
• HCBS waivers are often targeted to a specific
population based on health condition.
• Eligibility is determined by the s...
• It is common for demand to outstrip available
services provided under the waiver.
• For non-institutional care, states o...
• HCBS program implementation practices vary
among the states.
• HCBS waivers are operated under state authority,
and ofte...
Research and Demonstration waivers are state
specific waivers used to:
• Provide new benefits,
• Develop new program manag...
• Medicaid “waivers” refer to standards, practices,
and programs that vary from established federal
regulations.
• Waivers...
• Military families with children with special needs
should utilize the services and benefits offered in
the military heal...
• Some states use “deeming” waivers to extend
eligibility to those who might not otherwise
qualify for Medicaid due to inc...
• In our next training module, we will take a closer
look at Medicaid options for families with older
members with special...
• Military OneSource. EFMP/Special Needs. Includes
links to and information on public programs,
resources, and more.
http:...
Summary of the West Virginia University Project
Team’s Reports on Medicaid and Military Families
with Children with Specia...
The Military Caregiving Concentration team will offer 1.00
CE credit hour from NASW.
To receive CE credit please complete ...
This material is based upon work supported by the National Institute of Food and Agriculture, U.S. Department of Agricultu...
This material is based upon work supported by the National Institute of Food and Agriculture, U.S. Department of Agricultu...
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Part 2 Medicaid & Military Families: Children with Special Needs

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This webinar is part two of a three part training series that will provide basic and necessary information on Medicaid, a federal-state program that often provides health care coverage for low-income families and those with disabilities. The second module will concentrate on Medicaid options for children with special needs. The overall purpose of these modules is to assist family support providers and others with a general knowledge of Medicaid and to provide some guidance on where to turn for resources and further information.

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Part 2 Medicaid & Military Families: Children with Special Needs

  1. 1. Sign up for webinar email notifications http://bit.ly/MFLN-Notify Provide feedback and earn CEU Credit with one link: We will provide this link at the end of the webinar Welcome to the Military Families Learning Network Webinar This material is based upon work supported by the National Institute of Food and Agriculture, U.S. Department of Agriculture, and the Office of Family Policy, Children and Youth, U.S. Department of Defense under Award Numbers 2010-48869-20685 and 2012-48755-20306. Part 2 Medicaid & Military Families: Children with Special Needs
  2. 2. This material is based upon work supported by the National Institute of Food and Agriculture, U.S. Department of Agriculture, and the Office of Family Policy, Children and Youth, U.S. Department of Defense under Award Numbers 2010-48869-20685 and 2012-48755-20306. Research and evidenced-based professional development through engaged online communities. eXtension.org/militaryfamilies Welcome to the Military Families Learning Network
  3. 3. POLL How would you best describe your current employer?
  4. 4. This material is based upon work supported by the National Institute of Food and Agriculture, U.S. Department of Agriculture, and the Office of Family Policy, Children and Youth, U.S. Department of Defense under Award Numbers 2010-48869-20685 and 2012-48755-20306.
  5. 5. This material is based upon work supported by the National Institute of Food and Agriculture, U.S. Department of Agriculture, and the Office of Family Policy, Children and Youth, U.S. Department of Defense under Award Numbers 2010-48869-20685 and 2012-48755-20306. Available Resources https://learn.extension.org/events/1699
  6. 6. The Military Caregiving Concentration team will offer 1.00 CE credit hour from NASW. *Must complete evaluation and pass post-test with an 80% or higher to receive certificate. Link to evaluation and post-test will be available at the end of the presentation. This material is based upon work supported by the National Institute of Food and Agriculture, U.S. Department of Agriculture, and the Office of Family Policy, Children and Youth, U.S. Department of Defense under Award Numbers 2010-48869-20685 and 2012-48755-20306. Evaluation & CE Credit Process
  7. 7. WVU TRAINING MODULE 2
  8. 8. L. Christopher Plein, Ph.D. Professor of Public Administration Eberly Family Professor for Outstanding Public Service West Virginia University
  9. 9. • Medicaid options for children with special needs • Eligibility options through income or deeming waivers • Access to Home and Community Based Services (HCBS) through program waivers • State Research and Demonstration waivers that provide new delivery models and expand coverage
  10. 10. • The Military Health System provides many services and benefits for children with special needs. • Sometimes families need to go outside of the military system to seek services and care.
  11. 11. • Families may turn to Medicaid because of TRICARE coverage limits or because they will no longer be receiving TRICARE.
  12. 12. • Medicaid can provide many benefits, both basic coverage and more specialized services. • Eligibility for Medicaid is usually based on income status. • Certain disabilities or special needs will qualify families for Medicaid services, based on type and severity.
  13. 13. • In many circumstances, family income will be waived to allow children to have access to Medicaid service. • Commonly referred to as “Katie Beckett” waivers are often used when a child would not otherwise qualify due to family income. • Used primarily to help children qualify for home and community services (HCBS).
  14. 14. • States have different deeming procedures, these will vary in terms of which agencies conduct reviews, what standards that are used, etc. • Many states allow for Medicaid coverage for children receiving Supplemental Security Income (SSI) benefits. This simplifies the Medicaid eligibility process.
  15. 15. • HCBS coverage and benefits are usually not standard benefits offered under Medicaid. • HCBS are usually offered through another type of waiver – a special program that may limit eligibility and availability of services.
  16. 16. • These are commonly called Health and Community Based Services (HCBS) waivers. • They provide care for individuals who would otherwise have to seek treatment and services in an institutional setting.
  17. 17. Common Medicaid HCBS coverage includes: • Respite care • In-home skilled nursing • Home health aide assistance • Transportation services • Nutritional supplements, supplies, and equipment necessary for home care
  18. 18. • HCBS waiver programs are not uniform across the states, or even within some states. • Procedures for determining eligibility and authorizing access vary among the states. • Eligibility does not convey across state lines.
  19. 19. • HCBS waivers are often targeted to a specific population based on health condition. • Eligibility is determined by the severity and complexity of conditions.
  20. 20. • It is common for demand to outstrip available services provided under the waiver. • For non-institutional care, states often limit the number of cases served. The number of cases allowed are often called “slots.” • Because of this, individuals may be placed on “waiting lists.” But practices differ among the states.
  21. 21. • HCBS program implementation practices vary among the states. • HCBS waivers are operated under state authority, and often involve state Medicaid or Disabilities agencies. • The management may be delegated to specific state agencies, local government agencies, and even to community-based organizations.
  22. 22. Research and Demonstration waivers are state specific waivers used to: • Provide new benefits, • Develop new program management and delivery models, • Extend benefits to new beneficiary groups.
  23. 23. • Medicaid “waivers” refer to standards, practices, and programs that vary from established federal regulations. • Waivers are granted by the federal government to the states to allow for program innovation and to meet needs of target populations. • Waivers are exceptions to the “rules” and thus may be difficult to obtain.
  24. 24. • Military families with children with special needs should utilize the services and benefits offered in the military health system. • Medicaid coverage helps families access additional services, especially for non- institutional care. • Medicaid eligibility processes are complex and access to services may be limited.
  25. 25. • Some states use “deeming” waivers to extend eligibility to those who might not otherwise qualify for Medicaid due to income. • Many states provide HCBS services under waiver programs, but access to these services can be limited due to high demand and eligibility restrictions.
  26. 26. • In our next training module, we will take a closer look at Medicaid options for families with older members with special needs, such as adult children, spouses, and the elderly.
  27. 27. • Military OneSource. EFMP/Special Needs. Includes links to and information on public programs, resources, and more. http://www.militaryonesource.mil/efmp
  28. 28. Summary of the West Virginia University Project Team’s Reports on Medicaid and Military Families with Children with Special Health Care Needs: Accessing Medicaid and Waivered Services (2013). http://www.militaryonesource.mil/12038/MOS/EF MP/EFMP-MedicaidReport.pdf
  29. 29. The Military Caregiving Concentration team will offer 1.00 CE credit hour from NASW. To receive CE credit please complete the evaluation and post-test found at: https://vte.co1.qualtrics.com/SE/?SID=SV_9tqrIBguC4Fcis5 *Must pass post-test with an 80% or higher to receive certificate. This material is based upon work supported by the National Institute of Food and Agriculture, U.S. Department of Agriculture, and the Office of Family Policy, Children and Youth, U.S. Department of Defense under Award Numbers 2010-48869-20685 and 2012-48755-20306. Evaluation & CE Credit Process
  30. 30. This material is based upon work supported by the National Institute of Food and Agriculture, U.S. Department of Agriculture, and the Office of Family Policy, Children and Youth, U.S. Department of Defense under Award Numbers 2010-48869-20685 and 2012-48755-20306. Part 3 Medicaid & Military Families: Adults w/ Special Needs Date: February 18, 2014 Time: 11:00 a.m. Eastern Location: https://learn.extension.org/events/1700 For more information on MFLN–Military Caregiving go to: http://www.extension.org/pages/60576 Military Caregiving Upcoming Event…
  31. 31. This material is based upon work supported by the National Institute of Food and Agriculture, U.S. Department of Agriculture, and the Office of Family Policy, Children and Youth, U.S. Department of Defense under Award Numbers 2010-48869-20685 and 2012-48755-20306. Family Development Military Caregiving Personal Finance Network Literacy Find all upcoming and recorded webinars covering: http://www.extension.org/62581 Military Families Learning Network

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