The payment of all or part of an individual’s or family’s private health insurance premium, usually by a public program such as Title V, Medicaid, or CHIP. For more information, see the Premium Assistance description on the Department of Labor website.
A state’s Medicaid program plan, federally approved under Title XIX of the Social Security Act. A state may submit amendments to modify its plan. The state plan defines which services will be covered and the terms of eligibility for those services. While state Medicaid programs must include ce [...]
A federal program established under Title XVI of the Social Security Act that provides monetary benefits to eligible recipients to offset income loss due to long-term disability. It is administered by the Social Security Administration. In many states, individuals eligible for SSI automatically rece [...]
The federal matching dollars that states receive for every dollar they spend to support their Medicaid program. FMAP is based on the state-specific multiplier that the federal government uses to determine the percentage of each state’s federal match. The FMAP ranges from 50% – 83%, with [...]
An insurance program that allows people who have health problems or have trouble getting insurance to purchase health insurance, generally at higher than average premium rates
Part of the Health Resources and Services Administration (HRSA) in the U.S. Department of Health and Human Services (HHS), the MCHB is responsible for promoting the health of mothers and children in the United States and its jurisdictions. MCHB administers the Title V program. For more information a [...]
A fund established by a state or other payer through various public and private sources, that may pay expenses incurred by families for health or social support services that are not covered by an insurance plan or other benefit program. Independent commissions or Title V programs usually administer [...]
As defined by the MCHB, CYSHCN are those from birth to age 21 who have, or are at increased risk for, chronic physical, developmental, behavioral, or emotional conditions and who also require health and related services of a type or amount beyond that required by children generally. Also referred to [...]
Telemedicine is a capacity-building service that is of particular benefit in geographic areas where pediatric sub-specialty care is unavailable or difficult to access.
Mandated benefits address underinsurance by requiring private health insurers to cover specific benefits, such as such as early intervention, autism services, or medical foods.
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