medicaid eligibility and patient liability determinations - Kymmis.com

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Basic Medicaid Eligibility Cont. Kentucky’s eligible population falls into one of the following: • Family MA (based on AFDC policies)- child under 19 years old, caretaker relative of a child who is deprived of parental support, or a pregnant woman. • Adult MA (based on SSI policies)- aged (65 or older), blind, or disabled. • KCHIP (Title XXI) coverage for low income, uninsured children
Medicaid Financial Eligibility For the Adult, Family, and KCHIP group’s household income and resources must fall within established guidelines. • Income includes both earned and unearned • Resources are anything that can be converted to cash (KCHIP eligible is based on income alone)
Page 1 and 2: MEDICAID ELIGIBILITY AND PATIENT LI
Page 3 and 4: Medicaid Application Process Kentuc
Page 5 and 6: Federal Eligibility groups • Mean
Page 7 and 8: Eligibility Systems • KAMES-Kentu
Page 9: Basic Medicaid Eligibility • Must
Page 13 and 14: Look Back Rules With the passage of
Page 15 and 16: Spousal Impoverishment Rules Income
Page 17 and 18: Cost Share Rules • When receiving
Page 19 and 20: Income limits for LTC • Under the
Page 21 and 22: Active member’s with a new LOC Fo
Page 23 and 24: The LOC passed to KAMES includes:
Page 25 and 26: LOC for SSI recipients There are va
Page 27 and 28: LOC for an SSI recipient What can y
Page 29 and 30: LOC for non-SSI Active Members If t
Page 31 and 32: LOC for non-Medicaid individuals
Page 33 and 34: LOC for non-Medicaid individuals Th
Page 35 and 36: PATIENT LIABILITY DETERMINATIONS Th
Page 37 and 38: • For example. Undue Hardship - M
Page 39 and 40: Frequent Problems and Resolution
Page 41 and 42: Frequent Problems and Resolution

medicaid eligibility and patient liability determinations - Kymmis.com

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