Medicaid, a joint federal and state program administered by CMS Gov, serves as a critical lifeline for millions of low-income individuals and families across the United States. Understanding the role of medicare and its eligibility criteria is essential for those seeking healthcare coverage and support.

Unlike Medicare, which primarily serves seniors and individuals with disabilities, Medicaid provides coverage to a broader population, including children, pregnant women, parents, and individuals with limited income and resources. The program covers a wide range of healthcare services, including doctor visits, hospital stays, preventive care, mental health services, and long-term care.

Medicaid eligibility criteria vary by state and may include factors such as income, household size, age, disability status, and citizenship or immigration status. While federal guidelines set basic eligibility requirements, states have flexibility in determining additional eligibility criteria and benefits within certain parameters.

The Affordable Care Act (ACA) expanded Medicaid eligibility to include individuals with incomes up to 138% of the federal poverty level in states that opted for Medicaid expansion. As a result, millions of uninsured adults gained access to Medicaid coverage in participating states, helping to reduce disparities in healthcare access and improve health outcomes.

In addition to traditional fee-for-service Medicaid, many states offer Medicaid managed care plans, which coordinate care and services for enrollees through contracted networks of healthcare providers. These managed care plans may offer additional benefits and care management programs to improve quality and efficiency while controlling costs.

CMS Gov works closely with states to administer and oversee their Medicaid programs, ensuring compliance with federal regulations and promoting program integrity. The agency provides guidance, technical assistance, and federal funding to support state Medicaid programs in delivering comprehensive, affordable healthcare coverage to eligible individuals and families.

In conclusion, Medicaid, administered by CMS Gov in partnership with states, plays a vital role in bridging gaps in healthcare coverage and improving access to care for vulnerable populations. By understanding Medicaid eligibility criteria, benefits, and available services, individuals and families can access the support they need to lead healthier lives and achieve financial security.