Medicare isn’t just for everyone; you must be at least 65 years of age, or have a severe disability no matter your income. People of all ages are eligible if they are diagnosed with End-Stage Renal Disease requiring dialysis or a kidney transplant. The Social Security Administration determines whether a person is eligible for Medicare, and they are responsible for processing premium payments for the Medicare program (Medicare Program, 2014). Medicare is the largest health care program among the government. The original program has two parts to it: Part A (Hospital insurance) and Part B which deals with medical insurance (Motacki &Burke, …show more content…
CMS providers have been working towards establishing care in home and community-based settings; where many elder and disabled people would rather live. This has been a constant struggle, but as the year’s progress on progress has been made in achieving home and community-based services for the seniors and disabled patients. The Medicaid program hit a major accomplishment in 2013 when the majority of Medicaid spending on long-term care services was for home and community-based services. Up until the current date, Medicaid spending for home and community-based services has been rising steadily. Home and community-based services include home health aide services, case management, and adult day health which all three of these are critical components of the Medicaid program (Medicaid & CHIP, 2017).
SCHIP
Medicaid is closely related to another CMS program called State Children’s Health Insurance Program (SCHIP or CHIP). This plan targets uninsured children who are not eligible for Medicaid. This program was put into place to provide insurance for all children (Motacki & Burke, 2017). CHIP offers children different benefits than Medicaid Expansion CHIP programs provide. Some of the benefits CHIP offers is dental coverage that is necessary to prevent disease and promote dental health, age-appropriate vaccines, physician services, surgical and medical