Medicaid…what is it, how much does it cost?

What is Medicaid?

“Medicaid provides health coverage to millions of Americans, including eligible low-income adults, children, pregnant women, elderly adults and people with disabilities. Medicaid is administered by states, according to federal requirements. The program is funded jointly by states and the federal government.”


States establish and administer their own Medicaid programs and determine the type, amount, duration, and scope of services within broad federal guidelines. Federal law requires states to provide certain mandatory benefits and allows states the choice of covering other optional benefits.

Mandatory benefits include services including inpatient and outpatient hospital services, physician services, laboratory and x-ray services, and home health services, among others. Optional benefits include services including prescription drugs, case management, physical therapy, and occupational therapy.

How many people are enrolled in Medicaid?

68.8 million in the United States – 20.9% of the population [68.6 / 328.2]

3 million in the State of Ohio – 25.7% of the populaiton [3 / 11.69]

What is the income threshold for eligibility?

“Section 1902(e)(14) of the Act requires that state Medicaid agencies generally use “modified adjusted gross income” and “household income,” as defined at section 36B(d)(2) of the Internal Revenue Code of 1986 (the IRC) to determine Medicaid eligibility. Section 2107(e)(1)(H) of the Act requires that MAGI and household income also be used to determine eligibility for the Children’s Health Insurance Program (CHIP). For purposes of Medicaid and CHIP eligibility, we refer to these definitions collectively as “MAGI-based methodologies.” MAGI-based methodologies for Medicaid and CHIP are implemented in the regulations at 42 CFR 435.603
and 457.315, respectively.”

LFC Translation: We have no idea. This is what happens when you have a large governmental bureaucracy running any program. They make is so complicated that the average citizen needs to have someone to help them navigate the rules. We call this job security for the bureaucrat.

How much is spent on the Medicaid programs?

State of Ohio – $23, 207,692,998 or $1,985.26 for each resident of Ohio [$23,207,692,998 / 11,690,000] [2018 statistics]

United States – $632,902,225,681 or $1,928.40 for each resident of the U.S.
[$632,902,225,681 / 328,200,000] [2018 statistics]


Categories: Health Care, Uncategorized


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