Healthcare

Medicaid: A State By State Program

Medicaid differs state by state. The income limits for children’s Medicaid, Medicaid for low-income parents, and Medicaid for adults vary. Even some of the rules for immigrants vary. Most of the advice on our website is specific to Michigan. This blog post attempts to give you some more resources if you are located in a different state. But if the relationship between different states on Medicaid were a Facebook relationship status, it would be: “It’s Complicated.”

Find Your State—What Does Your State Offer?

Are you looking for information about your state? This map links to information about each state including eligibility, expansion, CHIP (Children’s Health Insurance Program) and enrollment. The map does not include links to enrollment sites.

State Overviews from Medicaid.gov

Covering Adults: Medicaid Expansion

The Affordable Care Act offered states the option to expand Medicaid to cover adults between the ages of 19 and 64 who are making up to 138% (133% + 5% disregard) of the Federal Poverty Levels. States voted to expand Medicaid and the federal government agreed to pay for 100% of the program from 2014 to 2016, dropping to 90% of the program after 2020. Currently 34 states including DC have expanded Medicaid, 3 states are considering expansion and 14 are not expanding. Low-income adults who previously had no healthcare could now be covered by Medicaid.

If you are from another state, find out the status of the Medicaid expansion in your state below.

Different states have given their Medicaid expansion different names. In Michigan, expanded Medicaid is called Healthy Michigan Plan. In Illinois, the program is called HealthChoice Illinois, and it is Medi-Cal in California. These plans do differ from state to state but must cover the essential health benefits set in the Affordable Care Act of 2010. Under the current administration, some states are requesting and being approved for waivers that include work requirements and other restrictions. Read more about current and pending waivers here. If you are really interested in waivers, check out the Kaiser Family Foundation’s (KFF) Waiver Tracker.

Need Help With Figuring Out Eligibility?

If you have questions about your eligibility, your child, your parent or someone else’s eligibility, call us at 734-544-3030 if you are in Michigan. If you are not in Michigan and need information about eligibility or enrolling, there are two resources.

The first is Federally Qualified Health Centers (FQHC). FQHCs are federally funded health centers that provide medical (and sometimes other) services. If you are looking for information about healthcare, an FQHC is a good place to start. Because they provide sliding fee scale services, they usually have information about Medicaid for adults, families and children, as well as patient advocates who can help you navigate the system.

FQHC Locator

The second resource for finding out about healthcare is the Marketplace’s Find Local Help (https://localhelp.healthcare.gov). This lists organizations and individuals who can help with the Marketplace and sometimes Medicaid. Choose your contacts wisely, brokers and agents are paid to sell insurance and may or may not be familiar with Medicaid programs and eligibility. Assisters are certified to enroll you on the Marketplace and should be familiar with Medicaid/CHIP eligibility in your area.

The Washtenaw Health Plan (left) is listed as an Assister; on the right, you find an Agent or Broker.

The Washtenaw Health Plan (left) is listed as an Assister; on the right, you find an Agent or Broker.

What If You Are Traveling and Need Emergency Care?

If you have Medicaid but need to go to an Emergency Room in another state, show them your Medicaid card and make sure to talk with the billing department before you leave. Most states have reciprocal agreements for emergencies for Medicaid clients—you cover mine and I’ll cover yours. Medicaid does not cover routine care in other states.

Planning A Move? Figure Out Your Health Care Options First!

If you are moving, make sure to cancel your Medicaid and apply in your new state. If you are wondering what your healthcare options are in your new state, use one of the tools above or go to this directory to find Medicaid contact information for any state.

Because different states have different rules, you may or may not be eligible for Medicaid in your new state. For instance, currently Texas has not expanded Medicaid. If your income is $1100/month (single person) in Michigan you could get Medicaid, but in Texas, you could not. Move from Texas to Michigan, and you’d be in luck.

For people who are in a state that did not expand Medicaid, if your income is below 100% of the poverty level, and especially if you are not a parent of minor children, you may need to rely on charity care programs. If you are above 100% of the poverty level, you may be able to go on the Marketplace. So when you are moving, don’t forget about the special enrollment period—it’s time-limited!

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The new MIBridges! Applying for benefits gets prettier. (And better.)

It's here!  The new MIBridges website is an upgrade worth checking out. [You may want to bookmark michigan.gov/mibridges.] Although there are still a few bugs, if you are eligible for public benefits it is easier to apply and manage your benefits. 

Favorite Features

MIBridges Is Now Smartphone Friendly!

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As you can see from the images in this blog post, the new MIBridges is easier on the eyes.  The layout is more open and dynamic with pleasing colors. It is also very easy to use on a phone.  Uploading documents is as easy as taking a photo! 

 

It Is Easy To Upload Documents

When MDHHS needs to verify information, you used to have to wait for a request from the caseworker to upload a document in the old MIBridges.  Sometimes you would have to wait for a letter in the mail and then fax the information to MDHHS.  Now there is a new and improved interface that makes uploading documents a breeze. (Although MDHHS states you can mail your verifications, WHP staff suggests that you NEVER mail anything to MDHHS.  You have no proof that you turned in your documents. Upload or fax, that's the best.)  Now you can upload documents using your smartphone, tablet or laptop anytime and it's easy!  You don't have to wait for a request from the caseworker. 

Now hold onto your hat because after you have uploaded your documents, you can view your documents.  No more uploading documents with no confirmation or way to check if the upload was successful.   EASY and USEFUL.

 

Notifications

The previous MIBridges system allowed you to put in your phone number or email address and you were supposed to get a text or email when there was new information in your account.  You also have this option with the New MIBridges, but it is easier to find the "opt-in" notification, and it works more consistently. 

 

Report Changes

Now you can report changes quickly and easily.  Reporting proof of a new baby, a new job or enrollment in Medicare only takes a few minutes.  You report the change and upload the proof or verification in the same session.  There is no waiting for the caseworker to request a document.  If you know you need to provide proof of employment, pregnancy, change in income or any other changes, you can do it easily.

 

Identity Verification/Proofing

When you create an account or register for an account, you create a user id and password with 3 security questions.  MDHHS added another level of security, identity proofing.  Questions to which only you know the answer are pulled from your credit report to which only you know the answer.  This is a new level of security and will help to keep your information safe.  Keep a record of your new account information because it can be tricky to reset your password.  

 

My Benefits 

When you click My Benefits you can see all benefits for each member of your family.  If you click on an individual, you will see their Medicaid Health Plan if they have one.  

At this writing, this feature does not work 100% of the time, but when it works, it works well.

 

 View Letters 

You can see all the letters you have received for the last year.  In the old MIBridges, you could only see the last 60 days of letters.  Letters are visible the day they are generated.  If you are signed up for Notifications, you will be able to view your letter before it arrives in your mailbox.  

At this writing, this feature does not work 100% of the time, but when it works, it works well.

 

 Case History

When you click on Case History, you can see change reports, applications and renewals that were submitted.  This will help keep track of what you have submitted to DHHS.  It also keeps a record of when you requested a benefit or address update.  This is a handy feature!


The new MIBridges is available in English, Spanish and Arabic!

 

Give the new MIBridges a try!  And, as always, if you run into any trouble, have questions or need assistance, give us a call.  Washtenaw Health Plan - We Help People!  734-544-3030

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