Health Care Delivery Systems/Medicare And Medicaid – Essay Example

Eligibility for South Carolina’s Medicaid Program Certain financial and categorical requirements must be met in order for an individual to qualify for the Medicaid program in South Carolina. According to the website of the South Carolina Department of Health and Human Services, “In order to receive benefits under the South Carolina Medicaid program, one must meet certain financial and non-financial requirements and fit into one of the categorical groups listed below: pregnant, age 65 or older, blind, totally and permanently disabled, under the age of 19, or a parent or caretaker relative living with a child under age 18 (low-income families). Eligibility for the Medicaid program is determined by an assigned eligibility worker on the particular case. The information that is needed to determine eligibility is taken from the application for Medicaid services (South Carolina Department of Health and Human Services 2010 and Nolan, Mittler, and Marglin, 2002).
South Carolina’s Children’s Health Insurance Program (S-CHIP)
South Carolina has a high-risk pool for which it provides insurance to those who cannot afford their own private insurance and who are HIPAA and TAA eligible. Certain criteria must be met in order to be eligible for the South Carolina Insurance Pool. According to healthinsuranceinfo.net (2010), “you must have had 18 months of continuous creditable coverage, at least the last day of which was under a group health plan; you also must have used up any COBRA or state continuation coverage for which you were eligible; you must not be eligible for Medicare, Medicaid or a group health plan; you must not have health insurance; and you must apply for health insurance for which you are HIPAA eligible within 63 days of losing your prior coverage.” S-CHIP covers hospital and physician care, prescriptions, maternity care, and certain other services.
Works Cited
Nolan, L.; J. Mittler; and B. Marglin (2002). Improving food stamp, Medicaid, and SCHIP participation: Strategies and challenges. Mathematica Policy Research. Retrieved September 30, 2010, from http://www.mathematica-mpr.com/publications/pdfs/southcarolina.pdf
South Carolina Health Insurance Pool (2010). Healthinsuranceinfo.net. Retrieved September 30, 2010, from http://healthinsuranceinfo.net/getinsured/south-carolina/individual-health-plans/south-carolina-health-insurance-pool-schip/
South Carolina Healthy Connections Kids (2010). South Carolina Department of Health and Human Services. Retrieved September 30, 2010, from http://www.dhhs.state.sc.us/dhhsnew/InsideDHHS/Bureaus/BureauofHealthServicesandDeliverySystems/SC%20Healthy%20Connections%20Kids%20SCHIP.asp
Who is eligible? (2010). South Carolina Department of Health and Human Services. Retrieved September 30, 2010, from http://www.dhhs.state.sc.us/InsideDHHS/Bureaus/BureauofEligibilityProcessing/WhoIsEligible.asp