Term Medicaid Information/Counseling
Code LH-3500.4900
Definition Programs that offer information and guidance for people who may qualify for Medicaid with the objective of empowering them to make informed choices. Included may be information about the eligibility requirements for Medicaid and how to apply; Medicaid Managed Care options, benefits covered (and not covered) by the program including long-term care and home and community-based services; the payment process for co-payments; Medicaid "spend-down" (the process of reducing income and/or assets an individual possesses in order to qualify for Medicaid); and information about Medicare and the linkages between the two programs. The program may also answer questions about Medicaid services available to individuals with disabilities; and some programs may help people who qualify with enrollment and provide referrals to providers who accept State Medicaid health insurance.
Created 10/4/12
Changed 3/6/18
Use References BadgerCare Information/Counseling
Medicaid Helplines
Medi-Cal Information/Counseling
Title 19 Information/Counseling
Title XIX Information/Counseling
See Also References Medicaid (NL-5000.5000)
Medicaid Contract Hospitals (LL-3000.5000)
Medicaid Fraud Reporting (FN-1700.9500-500)
Medicaid Planning (LH-4000.5000)
Navigator Programs (LH-3500.0200-600)
Nursing Home Transition Financing Programs (NL-5000.6500)
Referral to Dental Practitioners Accepting Medicaid (LH-2600.1700-700)
Referral to Physicians Accepting Medicaid (LH-2600.6500-700)
Vendor Certification (DF-4500.9000)
External Classification Terms Health (CAN HC-300)
Health Care (AIRS HC-300)
Health Insurance Counseling (NPC E08.05)
Patient & Family Support (NTE E86)
Related Concepts Insurance
Long Term Care
Named Programs
U.S. Services/Targets
Facet Service
Comments NOTE: A lot of different types of programs help people complete and file application/enrollment forms for various types of benefits and/or are authorized, usually by contract, to do eligibility determinations for a specific program. Note that for some programs, eligibility determinations can only be handled by a government agency. With so many different types of players, it is sometimes difficult to decide which Taxonomy term to select. Here are some guidelines: Use the Benefits Assistance terms in the FT-1000 section for application assistance provided by programs devoted primarily to advocacy for people to ensure that they understand and receive the benefits for which they are eligible. Use Benefits Screening (PH-0700) for programs that provide application assistance in the context of a general assessment of an individual's eligibility for a wide variety of benefits. Use the application/enrollment terms in the NL and NS sections of the Taxonomy for both federal, state, provincial or county offices tasked with benefits application/enrollment processing and eligibility determinations. Use Certificates/Forms Assistance (FT-1020) for assistance with any of the wide variety of forms, certificates and other official documents that people need to read and understand or complete and file that do not have a high enough profile to be covered by a dedicated Taxonomy term. Specific to Health Insurance, use LH-3500.4900 Medicaid Information/Counseling (LH-3500.4900) and Medicare Information/Counseling (LH-3500.5000) for programs that offer information and guidance for people who may qualify for these benefits with the objective of empowering them to make informed choices. Help may include information about the programs themselves (eligibility requirements, specific benefits covered, rights of beneficiaries, coverage denials and appeals) as well as help with enrollment and assistance in completing related forms.
Bibliographic References

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