CONTENT:
WELFARE REFORM ACT AND MEDICAID IN UNITED STATES Name: Grade Course: Tutor`s Name: (05, January, 2011) Welfare Reform Act and Medicaid in United States Factors That Determine Medicaid Eligibility There are various factors that are used to determine whether an individual becomes eligible for the Medicaid or and some of the factors include the following: the federal mandates that a beneficiary of the service should be referred to as being categorically needy and this include people who are characterized by low incomes and who posses few resources and it they includes individuals who are the beneficiaries of certain Medicare services with low incomes. The group of people referred as being categorically needy includes pregnant women who have low incomes, families with dependent children who often other receive financial assistance, those who are eligible of receiving supplemental security income (SSI), children and infants who meet the low-income requirements. Conditions for direct billing of Medicaid patient A provider is allowed by the federal law to bill a patient directly for services when the following conditions are met: when a patient has been informed by the physician prior to treatment that the service to be performed is not covered by the Medicaid, when the physician informs the patient in advance on the estimated cost of the procedure and the patient in turn agrees in writing to pay the stated charge and finally the physician must have an established...
