ANSWER 2:
RESTRICTED PLAN UNDER MEDICAID:
- LIMITS THE UNWANTED AND INAPPROPRIATE USE OF MEDICAID
SERVICES.
- THE SELECTED PERSONS UNDER THIS PROGRAMME ARE PROVIDED WITH
RESTRICTION PROGRAMME CARD.
- THEY ARE ELIGIBLE ONLY FOR ONE PRIMARY CARE PROVIDER AND ONE
PHARMACY.
- THE PRIMARY CARE PROVIDERS AND THE PROVIDERS TO WHOM THEY ARE
REFERRED SHOULD BE AMONG THOSE ENLISTED IN THIS PROGRAMME EXCEPT
FOR EMERGENCY CASES.
ANSWER 3:
PROCESS OF IDENTITY VERIFICATION OF MEDICAID -ELIGIBLE
PATIENTS:
- ELIGIBILITY IS DETERMINED BY TWO MAIN FACTORS: FINANCIAL AND
NON-FINANCIAL
1. FINANCIAL ELIGIBILITY CRITERIA:
- INCOME ELIGIBILITY BASED ON MODIFIED ADJUSTED GROSS
INCOME(MAGI)
- RELATED TO THE TAXABLE INCOME AND TAX-FILING RELATIONSHIPS
- ELIGIBLE FOR CHILDREN, ADULTS, PREGNANT WOMEN AND ALSO FOR
BLIND AND DISABLED .
- CHILDREN WITH ADOPTION ASSISTANCE AGREEMENT, YOUNG ADULTS WHO
ARE FORMER FOSTER CARE RECIPIENT ARE ELIGIBLE.
2. NON-FINANCIAL ELIGIBILITY CRITERIA:
- CITIZEN OF THE UNITED STATES, CERTAIN QUALIFIED PERMANENT
RESIDENTS
- CERTAIN OTHERS ARE CATEGORIZED BY AGE, PREGNANCY OR POSITION OF
CERTAIN PARENTS.