Ohio Medicaid and Medicare Basics
Name the distinction level (fed. vs state) and people difference between Medicare and Medicaid.
Medicare is federal and primarily for seniors. Medicaid is state-run and federally regulated and for low-income individuals.
Name one Medicaid wavier program in Ohio.
What is the Home and Community-Based Services (HCBS) waiver?
What is 19C wavier?
Name "CMS".
What is the Center for Medicare & Medicaid Service?
Define "HIPPA".
What is the Health Insurance Portability and Accountability Act?
Define “PCP”.
What is Primary Care Provider?
Name how many parts there are to Medicare.
200 BONUS: What are the parts to Medicare?
What is four?
BONUS: What is Part A (Hospital), Part B (Medical), Part C (Medicare Advantage), and Part D (Prescription Drug)?
An integrated care program for people eligible for both Medicare and Medicaid.
What is MyCare Ohio?
Federal law that established Medicaid.
What is the Social Security Act of 1965?
Act in 2010 expanded health insurance coverage and aimed to improve the affordability and quality of healthcare.
What is the Affordable Care Act?
Define "OAC".
What is the Ohio Administrative Code?
Approx. income eligibility threshold for adults under 65 in Ohio Medicaid (as of 2024).
What is 138% of the Federal Poverty Level?
A behavioral health care for children with complex needs.
What is OhioRISE?
President who signed the legislation that established Medicare and Medicaid into law in 1965.
Who is Lyndon B. Johnson?
The significance of the annual redetermination process.
What is the process of verifying ongoing eligibility for Medicaid coverage?
Define "FPL".
What is the Federal Poverty Level?
What is the annual enrollment period for Medicare Advantage plans?
What is October 15 to December 7?
Approx. millions of children and adults are covered under Ohio Medicaid.
Who are ~3.1 million children and adults?
Name one thing that Medicaid must provide under federal law.
What is inpatient, outpatient, and nursing home care?
Example of a preventive service covered for Ohio Medicaid members at no cost.
What are immunizations, annual wellness visits, or cancer screenings?
Define "FI".
What is Fiscal Intermediary?