The Service Tree lists all services in "branched" groups, starting with the very general and moving to the very specific. Click on the name of any group name to see the sub-groups available within it. Click on a service code to see its details and the providers who offer that service.
Medicaid
Medicaid Estate Recovery Programs
Programs that are responsible for implementing the 1993 federal legislation that makes it mandatory for states to attempt to recover Medicaid payments for recipients from their estates after they die; and/or which provide information about the program. Since most tangible assets are spent through Medicaid spend down, estate recovery focuses on real property, personal property or business ownership that the deceased had an interest in just prior to receiving Medicaid. Recovery applies to individuals who were age 55 or older when they received Medicaid or to permanently institutionalized adults younger than age 55. Recovery can also occur from the estate of living recipients who are in a nursing home and who have been certified that they cannot reasonably be expected to be discharged and return home. The property is exempt from estate recovery if the recipient's spouse is living there, a blind or permanently disabled child lives there, or if as a result of a state lien, additional protection for siblings and adult children can be satisfied.
State Medicaid Waiver Appeals/Complaints
Programs that are responsible for hearing appeals and resolving complaints that have been filed by people who have applied for or are receiving benefits through a state Medicaid waiver program and believe that they have been discriminated against, that their rights have been violated or that the program has failed to take appropriate action with respect to their application or benefits. The program also hears appeals by providers seeking to participate in the program whose applications have been denied.
State Medicaid Waiver Programs
Medicaid programs offered by states that have been authorized by the Secretary of the U.S. Department of Health and Human Services (HHS) to waive certain Medicaid statutory requirements giving them more flexibility in Medicaid program operation. Included are home and community care based (HCBC) waiver programs operated under Section 1915(c) of the Social Security Act that allow long-term care services to be delivered in community settings; managed care/freedom of choice waiver programs operated under Section 1915(b) of the Social Security Act which allow states to implement managed care delivery systems or otherwise limit individuals' choice of provider under Medicaid; and research and demonstration project waiver programs operated under Section 1115 of the Social Security Act to projects that test policy innovations likely to further the objectives of the Medicaid program. Each of the states has developed waivers to meet their needs; and while every state's waiver programs have their own unique characteristics, there may also be common threads.