Who Qualifies For Medicaid?

There are many factors which are taken intoMedicaid program to pay for over 40 percent of births
consideration when evaluating a person for Medicaidfound in America. All pregnant women of any age are
qualifications. The program is limited to those personseligible for Medicaid in the event that their incomes are
who fall into certain categories. According to federalbelow the 133 percent rating established for the
guidelines there are approximately 25 differentfederal poverty level. This coverage includes all time
categories which are available. These categoriesbeing pregnant as well as for a 60 days period
range from children to the non-disabled adults who areafterwards.
under the age of 65. In some cases these categoriesLastly, we have the adults in the families with
tend to overlap one and other ultimately allowing adependent children. Unlike the other two categories of
person to qualify under more then one category.children or pregnant women the non-disabled adults fail
As an example you could have a five year old childto have the major benefit of a vast Medicaid eligibility
who may be qualified as a poverty related child, he orwhich is usually tied closely to the federal poverty level.
she may be a dependent child within a welfare eligibilityThose adults that are not disabled, elderly or pregnant
family or perhaps as a child of welfare to work typecan only qualify for Medicaid if they are actually an
of family. In the event that this child also has some sortadult located in a family that has dependent children.
of disability then they may also qualify as a child whoIn all reality those Medicaid categories mentioned
receives SSI benefits. It is this vast number of differentabove tend to exclude millions of poor people from the
categories involved with Medicaid which make it suchMedicaid program with no regard what so ever to the
a complicated program to work with.actual degree of poverty or medical necessity.
In essence there are generally five major categoriesWomen who may not be pregnant, they may not be
of coverage eligibility. They are children, adults indisabled or elderly, nor have dependent children are
families with dependent children, pregnant women,completely excluded. The same situation applies to
elderly and disabled individuals. This article will brieflythose men who may be living in poverty.
focus upon three out of these five categories. ThoseEven though one must qualify under a specific eligibility
groups being the children, those women who arecategory they are not automatically accepted. They
pregnant and the adults of families with dependentwould still need to qualify under the income provision
children.as well. This type of requirement takes the form of
Let's start with children. There are currently over 41income tests including ones assets and resource.
million people who are enrolled in the Medicaid programNaturally the actual financial requirements may vary
and approximately half are children. The usualslightly from one category to the next.
category of eligibility for these children is a parent whoAs mention there are many factors which come into
falls under an income below the federal threshold ofpay involving Medicaid eligibility and each factor must
poverty level.be reviewed on its own merits.
Pregnant Women on the other hand rely upon the