Common Questions about Medicaid Eligibility

Many Maryland residents have lauded the passing of the Affordable Care Act (or “Obamacare” as it is commonly called). Of course, many of your patients are probably unaware that there are already laws that seek to make medical care affordable for people, especially those in dire financial straits. Case in point: the Medical Assistance program or Medicaid.

This provision was created in 1965 to assist low-income individuals who are either under 21 or over 65 years old, pregnant, disabled (or caring for a child who is), or responsible for children under 21 years old.

As with any law, though, expect your patients to have plenty of questions about Medicaid eligibility. Below are some that you might encounter:

Where Can I Get Application Forms?

To make things easier, the state has made application forms available online. Your patients may download them from: http://mmcp.dhmh.maryland.gov/docs/QMB-Application-02-10-rev.pdf.

What Services are covered by Medicaid?

Medicaid covers a variety of medical services such as ambulatory surgical center services, laboratory and x-ray services, and even mental health management, among many others.

What if I Make Too Much Money?

If a person makes too much money to qualify for Medicaid, they may still take advantage of this program via the “step down” procedure. This requires the applicant to show that his or her medical expenses exceed their income.

If you need help explaining the full benefits of Medicaid and assisting patients to enroll, you can tap third-party specialists like DECO Recovery Management.