emergency service

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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Emergency Food Assistance: Did you lose food because of the power outage?

poweroutage

Were you recently affected by the power outage?  There is help if your food was spoiled and had to be thrown away.  

visit a food pantry 

If you lost food during the outage and need food for your family, food pantries can help. Any eligible member of the community can go to a Food Gatherer’s pantry site for food if they are in an emergency and need food immediately. Emergency food resources are intended for those who do not have financial resources for food, and only provide a few days’ worth of food.

Food Gatherers has a great list of food pantries and resources.  Here's a link to their searchable directory.

ACT NOW!

If you currently receive food benefits (sNAP/FAP/Bridge Card), you can apply for extra benefits 

You must visit your local DHHS office BEFORE or ON MONDAY, 03/27/2017 and request a 601 Affidavit.  The 601 Affidavit if printed at the local office and asks you to list the food you lost.  The form is returned to the caseworker and you should receive a notice with about 10 days.  You are eligible for extra assistance up to the amount of your monthly benefit.  If you get $16/month, you will only qualify for $16.  If you have a big family and your benefit is $600, you could qualify for up to $600.  

Your caseworker can request proof that your power was out.  In Washtenaw County, DTE has provided a letter to DHHS listing all the affected zip codes.  Here is a link to the letter.  Here are the zip codes: 48105, 48108, 48109, 48108, 48118, 48130, 48158, 48176, 48189, 48191, 48197 and 48198.  If you are in Wayne County, your DHHS office received a similar letter.  

If you currently do not receive food assistance from DHHS, you can still apply for help. 

lotsafood

If you are not currently receiving food assistance from DHHS, your best bet is to visit a food pantry.  You can apply for assistance from DHHS by filling out an SER application.  SER application in English. SER application in Spanish.  You are eligible for $3 per person per day.  If you have a big family, it might be worth it to fill out the application.  You can also go to the DHHS office and they can assist you with the application. You must apply before or on Monday, 03/27/2017. 

 

Interested in Food Policy?  Check out the Washtenaw County Food Policy Council!  

 

DHHS Policies

Food Benefit Replacement BAM 502

Emergency Services ERM 209 

 

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