Medicaid Eligibility Groups

What are the eligibility groups for individuals looking for Medicaid assistance?

What are the characteristics of financially needy and medically needy individuals?

Medicaid Eligibility Groups

Financially needy and medically needy are two of the three eligibility groups for individuals looking for Medicaid assistance.

Medicaid is a government program that provides health coverage to individuals with low income and limited resources. There are three main eligibility groups for individuals seeking Medicaid assistance:

1. Categorically Needy

Categorically needy individuals are those who meet the traditional criteria of Medicaid eligibility based on income and resources. This group includes children, pregnant women, elderly individuals, and people with disabilities.

2. Medically Needy

Medically needy individuals are those who have high medical expenses but do not meet the income requirements for Medicaid. They are able to "spend down" their excess income on medical bills in order to qualify for Medicaid coverage.

3. Financially Needy

Financially needy individuals are those who meet the income requirements for Medicaid coverage but do not fall into the categorically needy group. They may be adults without children or individuals who do not meet the specific criteria for other Medicaid eligibility groups.

Overall, Medicaid eligibility is based on a combination of income, resources, and specific criteria for different eligibility groups. It is important for individuals seeking Medicaid assistance to understand the requirements of each group in order to determine their eligibility for coverage.