Case Management

“Painless” Administrative Ways for
States with Budget Shortfalls to
Preserve or Increase Medicaid and
S-CHIP Program Funding

Table of Contents

Thomas P. McCormack
TIICANN Benefits and .Eligibility Consultant
05/07/04

Medicaid Main Page Medicaid New/Noteworthy

Section A: States With Parent/Caretaker Medicaid Income Levels Over 100% of Poverty

Section B: States With Non-Federally-Funded Health and Pharmacy Assistance Programs
that Could Drop Veterans and/or Get Medicaid Waiver Matching

Section C: Proactively Asking About and Paying Added Premiums for Offered, but Un-
Taken-up, Dependent Coverage in Employer Health Plans of Working Spouses, Domestic
Partners and Parents of Disabled and Aged Medicaid Patients

Section D: Electing the Medicaid Eligibility Option to Offer COBRA Premium Payments to
Newly-Disabled and Newly-Unemployed Individuals and Families

Section E: Proactively Identify those Women Under 65 on Medicaid and Other Health Programs
Receiving Treatment for Breast or Cervical Cancer or Precursor Conditions to Claim New,
15% Higher Medicaid Matching Rate for their Care

Section F: Ending the Administratively Useless and Cumbersome “209(b)” and “Title XVI” Options
for Unnecessarily Costly and Duplicative State Medicaid Eligibility Determinations for SSI
Recipients

Section G: Identifying and Proactively Encouraging Disabled and Aged Veterans now on SSI
and Medicaid to Get on the VA’s More Generous Disabled Wartime Veteran Pension instead
Can Indirectly Shift almost all their Medical Costs from Medicaid to the VA.

Section H: Setting Up Automatic, Electronic Combined Application Programs (CAPs) for
Integrated, Automated, Paper-less, ”One-Stop-Shopping” SSI and Food Stamp Eligibility Can
Save States Millions in Food Stamp Administrative Costs

Section I: Liberalizing Food Stamps for the Aged, Disabled and Families at No State Cost By
Advocating for Higher State-set Standard Utility Allowances That Fully Reflect Current, Increased
Utility Costs---Which Can Also Raise State Sales Tax Revenue

Section J: Instructing Medicaid Staff Answering Patient Assistance Lines to Ask Male Callers
if They are Veterans---and then Refer Veterans Having Trouble Finding Medicaid-Participating
Providers to the VA

Section K: Identify and Enroll ADAP and State Pharmacy Assistance Recipients and Applicants
with Incomes Under 135% --and, by late 2005, also Those Under 150%-- of Poverty and
Enroll Them in Medicare’s New Prescription Drug Coverage (which begins in spring, 2004),
by signing them up for QMB, SLMB and QI.

Section L: Stop Wasteful, Ineffective Red Tape (Particularly Asset Tests) to Economically
Streamline Eligibility Determination Administrative Costs for S-CHIP and Medicaid for Children
and Parents.

APPENDIX: Potential Consultant/Contractors Experienced with and Available for Screening
ADAP Clients for Eligibility for Alternate Coverage and Third Party Liability Improvement
Operations

Medicaid Main Page

Medicaid New/Noteworthy

“Painless” Administrative Ways For States With Budget Shortfalls to
Preserve or Increase Medicaid and S-CHIP Program Funding:
Table of Contents
HTML ©AIDS Drug Assistance Protocol Fund