MEDICAID

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Medicaid is a program that provides health coverage to some low-income Kansas residents. Medicaid covers families with children and pregnant women, medically needy individuals, the elderly, and people with disabilities, if state and federal guidelines are met. Legal residents who are not U.S. citizens may be eligible for Medicaid. Non-citizens who do not have immigration documents cannot enroll in Medicaid.

· For certain categories of people, eligibility for Medicaid is based on the amount of your household income.

In Kansas you may be eligible for Medicaid if you are an infant, a child, a parent of a child, or pregnant, and your family income meets the Medicaid income standards.

Income eligibility levels for these categories are described below. Your assets and some expenses also may be taken into account, so you should contact your local Social and Rehabilitation Services (SRS) Office for more information.

Low income persons eligible for Medicaid in Kansas*

Category                  Income eligibility (as percent of federal poverty level)

Infant                              150%
Child 1-5                          133%
Child 6-19                        100%
Working Parent                   34%
Non-Working Parent            27%
Pregnant woman               150%
Medically needy
      Individual                    66%
      Couple                        49%

* Eligibility information was compiled from State Health Facts Online, the Kaiser Family Foundation, and may have changed since this guide was published. Contact your state Medicaid program for the most up-to-date information and for other eligibility requirements that may apply.

To get an idea of how your income compares to the federal poverty level, use the federal poverty guideline issued by the U.S. Department of Health and Human Services for the year 2009:

Size of Family Unit       Poverty Guideline (annual income)

     1                                   $10,830
     2                                   $14,570
     3                                   $18,310

For larger families add $3,740 for each additional person.

So, for example, using this guideline, 200% of the federal poverty level for a family of 3 would be an annual income of $36,620, or a monthly income of $3,052.

Contact your state Medicaid program for the most up-to-date information and for other eligibility requirements that may apply.

· Families who get cash benefits from TANF (also known as Kansas Works) can get Medicaid. In addition, your children may qualify for Medicaid if your family’s income meets certain income standards.

· Very poor elderly or disabled people who get Supplemental Security Income (SSI) benefits can also qualify for Medicaid. You do not need to submit a separate application for Medicaid.

Disabled individuals should know that if your income earned from a job increases so that you no longer qualify for SSI, you may be able to continue your Medicaid coverage if you are elderly or you are still considered disabled and you continue to have medical need.

· People who have high medical expenses may also qualify for Medicaid. You may qualify as medically needy if you are a child, parent or a dependent child, pregnant, elderly, or disabled and have high medical expenses that, when subtracted from you income, would make you eligible for Medicaid coverage. For example, people who have to pay a lot for prescription drugs, nursing home care, or other long term care services sometimes qualify as medically needy if they don’t have health insurance that covers these services.

· Retired or disabled people who have low incomes and are enrolled in Medicare may also qualify for help from Medicaid. Even though your income may be too high to qualify for Medicaid insurance coverage, there may be other ways Medicaid can help you.

If your household income is below the poverty level, Medicaid will pay your Medicare monthly premium and your Medicare deductibles and coinsurance. This is called the Qualified Medicare Beneficiary (QMB) program.

If your household income is below 120% of the poverty level, Medicaid will pay for your monthly Medicare premiums only. This is called the Specified Low-Income Medicare Beneficiary (SLMB) program.

Contact the Division of Health Care Policy at the Department of Social and Rehabilitation Services (SRS) for more information about other eligibility requirements.

· There may be other ways that Medicaid can help. To find out if you or other members of your family qualify for Medicaid, contact the Division of Health Care Policy at the Department of Social and Rehabilitation Services. You can apply for Medicaid at your local Social and Rehabilitation Services Office.

To obtain the locations and telephone number of sites near you call the Medicaid Customer Service Center at the Kansas Department of Social and Rehabilitation Services at (800) 766-9012.


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