USA HISTORY

Detailed explanation-1: -Mandatory benefits include services including inpatient and outpatient hospital services, physician services, laboratory and x-ray services, and home health services, among others. Optional benefits include services including prescription drugs, case management, physical therapy, and occupational therapy.

Detailed explanation-2: -People who have both Medicare and full Medicaid coverage are “dually eligible.” Medicare pays first when you’re a dual eligible and you get Medicare-covered services. Medicaid pays last, after Medicare and any other health insurance you have.

Detailed explanation-3: -A person certified by the local welfare department to receive the benefits of Medicaid under one of the specific aid categories; an individual certified to receive Medicare benefits. The amount the patient must pay each month before he or she can be eligible for Medicaid; also known as liability or spend down.

Detailed explanation-4: -As described in section 1925 of the Social Security Act (the Act), TMA provides up to 12 months of continued Medicaid coverage to families who become ineligible for Medicaid due to earnings or hours of employment.