The Medicaid program is a joint program funded by the US federal government and several states; it provides health insurance for low-income Americans. Through this powerful program, approximately 52 million Americans [about one in every seven US citizens] have access to critical medical services and long-term care services, including more than one million disabilities aged 21 or younger. youth. More than 20% of young people with disabilities are receiving Medicaid, including 7 of 10 low-income children with disabilities.
These disabilities involve a wide range of conditions, including physical conditions such as cerebral palsy or congenital blindness, as well as mental disorders such as dyslexia or autism spectrum disorders. The primary insurance channel for disabled children, supplemental security income [SSI' disability' payment] is primarily for children with primary mental disabilities, such as developmental disorders or mood disorders.
Since Medicaid is established between the federal and state governments, both have a say in how they operate. The federal government has established basic eligibility requirements and broad welfare guidelines, but each state accurately defines which income ranges meet its territorial requirements and what services they will provide. However, in order to support children's health, the federal government's welfare for children is more stringent, forcing states to accept children who are more likely to accept higher income thresholds for adults and provide them with a wider range and higher quality than adults. service provided.
The federal government's first and most important service for children with disabilities is called early and regular screening, diagnosis and treatment benefits [EPSDT]. This benefit begins at birth and is responsible for paying all hearing, vision, dental, psychological/emotional and physical examinations, and immunization costs that children receive free of charge from schools and providers. If a child is found to have real medical problems and is low-income, then the "treatment" part of the program will pay for any form of standardized treatment provided by the state.
...and introduce ' aging '
All of this is great...until the child is 19 years old [some states are 21 years old]. At the moment when disabled people are no longer "youth", they suddenly find themselves absolutely insignificant in Medicaid benefits unless they are eligible to participate in one of the disability plans. Even those who qualify for the adult-oriented Medicaid Disability Program often find that their new program [which is no longer subject to federal parent-child rules] lacks support compared to the old program.
The sudden reduction in support and welfare is called "aging," which is the most difficult problem many parents of American children with disabilities face during their transition to adulthood. In the next few articles, we will explore the impact of EPSDT aging and "normal" Medicaid and provide some best advice on how to handle the transition if you are a parent of a child with a disability.
Orignal From: EPSDT aging - Part 1: What is EPSDT?
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