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This issue brief provides an overview of Medicaid's medically needy program; describes how it works for persons with disabilities, the elderly, and low-income families; and highlights some key issues surrounding the program. Included in the paper are hypothetical examples of ways in which individuals can qualify for the medically needy program and are intended for illustrative purposes only.
States are grappling with a fiscal crisis that threatens funding for Medicaid, the federal-state partnership that provides health coverage for low-income populations. Two new studies shed light on the impact of an increasingly popular strategy - prior authorization - being used to control prescription drug spending. In fiscal year 2003, some 21 states are planning to expand or create prior authorization systems where the state must provide pre-approval before selected drugs can be dispensed to…
This report is an overview of how seven states (California, Colorado, Florida, Michigan, Mississippi, New Jersey, and Washington) coped with budgetary problems and how these problems impacted Medicaid and SCHIP. Report
This report describes the findings of a December 2002 50-state survey update on state budgets and Medicaid spending trends for fiscal year 2003.
State Budget Constraints: The Impact on Medicaid This fact sheet summarizes the relationship of Medicaid with state budgets and discusses the current fiscal challenges in the states and how it is affecting Medicaid programs. Fact Sheet
This report includes case studies of how seven states (California, Colorado, Florida, Michigan, Mississippi, New Jersey, and Washington) coped with budgetary problems and how these problems impacted Medicaid and SCHIP. Report
Simplified Eligibility for Children's Medicaid in Texas: A Status Report at Nine Months This report describes the initial success of Texas new law in removing barriers to children's Medicaid participation and provides the baseline information needed to observe and interpret how the next phase of implementation, the EPSDT mandate, will enhance or undermine the goal of broader coverage of Medicaid-eligible children in Texas. Report
This report analyzes enrollment data and conveys focus group findings about the impact of North Carolina's freezing enrollment in their SCHIP program. Report
Case Study: Michigan's Medicaid Prescription Drug Benefit This report describes the legislative process behind and content of Michigan's Pharmaceutical Product List (MPPL), a selection of preferred drugs available to be prescribed in the Medicaid program with little restriction. Providers would be required to obtain prior authorization from the state to prescribe any drug not included on the MPPL. Background Paper
This report discusses the importance of maintaining health coverage for children who are discharged from foster care and presents strategies that state child welfare and Medicaid agencies can employ to reach this goal. In addition, the report also addresses the needs of children who age out of the foster care system at age 18, and discusses state options to expand health coverage to this group. Report
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