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Medicaid Services

Medicaid is a medical assistance program for low-income individuals jointly financed by state and federal governments. It was enacted in 1965 as an amendment to the Social Security Act of 1935. Today, Medicaid is a major social-welfare program and is administered by the Centers for Medicare and Medicaid Services, formerly known as the Health Care Financing Administration.

Among the services that Medicaid covers are inpatient hospital services, outpatient hospital services, laboratory and X-ray services, skilled nursing home services, physicians' services, physical therapy, hospice care and rehabilitative services. Patients are restricted when selecting who will take care of their needs by selecting from approved physicians and other medical care providers. Because physicians are not fully reimbursed for services provided to Medicaid patients, many of them limit the number of Medicaid patients they see.

Federal law dictates that states may not reduce other welfare benefits people receive when they become eligible for Medicaid. Also, states may not impose citizenship or residency requirements other than requiring that an applicant be a resident of the state. Neither the age of the applicant nor the fact that he or she is employed are restrictions to receiving Medicaid.

Since its inception, the program has been plagued by fraud from both health care providers and patients. To curb these, Congress passed a law in 1996 making people criminally liable for committing fraud in order to become eligible for medical assistance.

Last Update: Sept. 30, 2008

The content on this page was developed in partnership with the Legal Information Institute, Cornell Law School.

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