Who? What? Why?
Coverage Issues
Controversies that remain unresolved include:
Rules for when someone may be eligible for Medicaid insurance coverage (3 month rule)
Entitlements for non citizens, if they are entitled at all, for taxpayer Medicaid insurance
Identification of what constitutes a life threatening medical event
Delivery system inequities between the uninsured/underinsured compared to those with comprehensive health insurance coverage plus the ability to pay out of pocket costs before any non life threateningtreatment is ever received
The Three W’s of Government Health Insurance: Who? What? Why?
Coverage Issues
Three Month Rule
Coverage may start 3 months prior to application for Medicaid insurance, if the individual would have been eligible during the retroactive period but:
was unaware of this opportunity, or
because the nature of their illness prevented them from seeking coverage
States seldom develop outreach programs to advise their residents of the benefits of Medicaid insurances