what are the requirements for medicaid

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Requirements for Medicaid Eligibility

Medicaid is a government program in the United States that provides health insurance for adults and children with limited income and resources. The eligibility requirements for Medicaid are as follows:

Financial Eligibility

  • Medicaid eligibility is primarily based on limited income and financial resources.
  • The income limit for eligibility varies by state and household size.
  • Individuals must meet certain non-financial eligibility criteria, such as being a resident of the state and a U.S. citizen or qualified non-citizen.

Categorical Eligibility

  • Eligibility is categorical, meaning individuals must belong to a category defined by the program, such as low-income adults, children, and people with certain disabilities.
  • Medicaid eligibility is linked to eligibility for programs like Aid to Families with Dependent Children (AFDC) and Supplemental Security Income (SSI).

Other Requirements

  • Medicaid beneficiaries generally must be residents of the state in which they are receiving Medicaid.
  • States have the option to cover additional groups of individuals, such as those receiving home and community-based services and children in foster care.

In summary, to be eligible for Medicaid, individuals must meet the financial and categorical eligibility criteria, as well as other non-financial requirements such as residency and citizenship status. The specific income limits and eligibility categories may vary by state.

https://en.wikipedia.org/wiki/Medicaid https://www.medicaid.gov/medicaid/eligibility/index.html https://www.benefits.gov/benefit/1390