Long-Term Care Reimbursement The federal and state governments are the largest p

Question

Long-Term Care Reimbursement The federal and state governments are the largest payers of health care services in the United States. The largest federal programs are the Medicare and Medicaid services. Using the information from the textbooks, lectures, and Internet resources, provide a brief summary of Medicare and Medicaid services in a Microsoft Word document. To get up-to-date information on the programs, review the information shared on the following websites: The Centers for Medicare and Medicaid Services The Social Security Administration In your summary, include the following points: An overview of the different Medicare and Medicaid services The population covered under Medicare and Medicaid services The services of long-term care covered under Medicare and Medicaid, including the restrictions placed on them REFERENCE: Title:Long-Term Care: Managing Across the Continuum Author: John Pratt Edition/Year: 4th Ed./2016 Publisher: Jones & Bartlett ISBN: 978-1-284-05459-0

Explanation / Answer

Title XVIII of the Social Security Act, designated "Health Insurance for the Aged and Disabled", is commonly known as MEDICARE. As part of of the Social Security Amendments of 1965, the MEdicare legislation established a health insurance program for aged persons to complement the retirement, survivors and disability insurance benefits under Title II of the Social Security Act.

Part A is generally provided automatically, and free of premiums to persons aged 65 or older who are eligible for Social Security or Railroad retirement benefits whether they have claimed monthly cash benefits or not.

The following health care services are covered under Part A:

Part B covers certain medical services and supplies including the following:

MEDICAID

Title XIX of the Social Security Act is a Federal/ State entitlement program that pays for medical assistance for certain individuals and families with low incomes and resources. This program , known as MEDICAID, became law in 1965 as a cooperative venture jointly funded by the Federal and State governments to assist States in furnishing medical assistance to eligible needy persons. Medicaid is the largest source of fundng for medical and health related services for America's low income population.

Scope of Medicaid services

States also receive Federal matching funds to provide certain optional services.

Following are some of the most common, currently approved optional Medicaid Services

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