MediCaid information by Topic

Medicaid Information by Topic:

Eligibility

Medicaid and CHIP provide health coverage to nearly 60 million Americans, including children, pregnant women, parents, seniors and individuals with disabilities. In order to participate in Medicaid, Federal law requires States to cover certain population groups (mandatory eligibility groups) and gives them the flexibility to cover other population groups (optional eligibility groups). More information is available in the Eligibility section.

Benefits

States establish and administer their own Medicaid programs, and determine the type, amount, duration, and scope of services within broad federal guidelines. States are required to cover certain “mandatory benefits,” and can choose to provide other “optional benefits” including prescription drugs. States receive federal matching funds to provide these benefits.  More information is available in the Benefits section.

Cost Sharing

States have the option to charge premiums and to establish out of pocket spending (cost sharing) requirements for Medicaid enrollees. Out of pocket costs may include copayments, coinsurance, deductibles, and other similar charges. More information is available in the Cost Sharing section.

Waivers

The Social Security Act authorizes multiple waiver and demonstration authorities to allow states flexibility in operating Medicaid programs. Each authority has a distinct purpose, and distinct requirements. To find out what kinds of waivers and demonstrations have been proposed and/or approved in each State, see the list below. This option will allow you to find a waiver operated under a specific authority. More information is available in the Waivers section.

Long-Term Services & Supports

The Medicaid program allows for the coverage of Long Term Care Services through several vehicles and over a continuum of settings. This includes Institutional Care and Home and Community Based Services (HCBS). Please click on this option for more information. More information is available in the Long-Term Services & Supports section.

Delivery Systems

States have choices in their approach to reimbursement and delivery system design under the Medicaid Program. More information is available in the Delivery Systems section.

Quality of Care

Medicaid and the Children’s Health Insurance Program seek to provide safe, effective, efficient, patient-centered, high quality and equitable care to all enrollees. To achieve these goals, the Centers for Medicare & Medicaid Services (CMS) partners with States to share best practices and to provide technical assistance to improve the quality of care. More information is available in the Quality of Care section.

Data & Systems

Medicaid.gov is intended to become a major resource for information on Medicaid systems, coding information and data. The plan is to over time enhance the current capabilities of these Medicaid systems to share timely and meaningful Medicaid data. More information is available in the Data & Systems section.

Enrollment Strategies

The Center for Medicaid and CHIP Services (CMCS) works with States to identify and enroll people who are eligible for Medicaid or the Children’s Health Insurance Program but who are not enrolled. More information is available in the Enrollment Strategies section.

Program Integrity

The Centers for Medicare & Medicaid Services (CMS) is committed to combating Medicaid provider fraud, waste, and abuse which diverts dollars that could otherwise be spent to safeguard the health and welfare of Medicaid enrollees. More information is available in the Program Integrity section.

Financing & Reimbursement

Medicaid is jointly funded by the Federal government and the States. The Federal government pays States for a specified percentage of program expenditures, called the Federal Medical Assistance Percentage (FMAP). More information is available in the Financing & Reimbursement section.

Indian Health and Medicaid

The population of American Indians and Alaska natives living in the United States totals 5.2 million according to the Census Bureau.  More than 1 million American Indians and Alaska Natives are enrolled in coverage through Medicaid and CHIP and many more are eligible for coverage as a result of the Affordable Care Act’s Medicaid expansion. Medicaid and CHIP can serve as a critical source of care for this community. More information is available in the Indian Health & Medicaid section.

Outreach Tools

Throughout the nation, efforts to enroll eligible individuals in health insurance are moving forward. Millions are eligible for Medicaid and the Children’s Health Insurance Program (CHIP) – in many states, more people than ever before – and still need to be connected to the vital health benefits these programs provide. Medicaid and CHIP enrollment is year-round and is not subject to an open enrollment period. Eligible individuals can enroll at any time and get coverage right away. More information is available in the Outreach Tools section.

Medicaid State Plan Amendments

A Medicaid and CHIP state plan is an agreement between a state and the Federal government describing how that state administers its Medicaid and CHIP programs. It gives an assurance that a state will abide by Federal rules and may claim Federal matching funds for its program activities. The state plan sets out groups of individuals to be covered, services to be provided, methodologies for providers to be reimbursed and the administrative activities that are underway in the state. More information is available in the Medicaid State Plan Amendments section.

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BELIEVE

I believe that all that we do and all whom we meet on our journey is placed on our road of life for a purpose. There are no accidents; we are all teachers! If we’re willing to pay attention to the lessons we learn, trust our positive instincts, and not be afraid to take risks, or wait for some miracle to come knocking at our door.

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Mental Stress Management “IMAGERY”

Mental Stress Management:

What Is Imagery?

Guided imagery is a stress management technique, where you use your imagination to picture a person, place, or time that makes you feel relaxed, peaceful and happy. Imagery is slightly different from other stress management techniques, in that it relies on the use of all of your senses.

For instance, in your imagination you hear the sound of birds chirping, you see the drops of dew on the grass, you feel the breeze on your skin, you smell the wildflowers, and you taste the cold drink. In imagery, using all of your senses is what creates such a powerfully relaxing experience, and this is why it’s so useful in managing stress and coping with difficult situations.

There are several other ways that you can use imagery to help you relax. For example, you could create mental pictures of stress flowing out of your body, or of your problems, your distractions, and your everyday concerns being folded away and stashed in a padlocked chest.

Some people are skeptical about the effectiveness of using imagery. However, research suggests that it can be incredibly effective in lowering your stress levels.

For instance, one study found that using stress management techniques alongside relaxation imagery, and even just using imagery alone, significantly reduced participants’ blood pressure. Another study, which researched the effectiveness of imagery on breast cancer patients, found similar benefits: patients who used imagery to cope with their disease experienced less stress, more vigor, and a higher quality of life than those who didn’t use the technique.

As well as these examples, many other studies have successfully used imagery to lower stress in patients suffering from post-traumatic stress syndrome, abuse, depression, and other conditions, including occupational stress.

Note:

Imagery is similar to Visualization , in that you’re using your imagination for a specific purpose, however, visualization is more focused on a definite outcome. People use visualization techniques to imagine completing goals or working through a situation with an exact outcome in mind. Both are useful, but guided imagery is more relevant for managing stress.
Using Imagery to Reduce Stress

To start managing stress using imagery, take the following steps.

Step 1: Find a Quiet Place

If possible, find a quiet place to sit down. This could be a park bench, an empty room, or even your office. Close your eyes, and breathe slowly and deeply to calm down.

Step 2: Choose Your Setting

Once you feel relaxed, picture yourself in the most peaceful environment that you can imagine. This can be an imaginary place, or a memory of a place or time that has a special meaning to you.

The scene that you imagine is highly personal and should ideally be one that you feel emotionally drawn to. However, if you’re having trouble thinking of an image, consider using the following:

Relaxing on a sunny tropical beach, listening to the waves, and digging your toes into the sand.
Curling up in an armchair in a remote cabin, surrounded by mountains and snow, and relaxing in front of a fire with a cup of hot cocoa.
Going on a picnic with your family in your favorite secret spot.
Sitting by a waterfall deep in the forest, feeling the gentle moisture against your face, and listening to the birds.
It’s important to remember that imagery’s effectiveness relies on using all your senses.

For instance, don’t just imagine yourself in the remote mountain cabin. In your imagination, look around you. Pay attention to the rustic feel of the room. Feel the fire’s warmth against your skin, and inhale the musky, earthy scent of the wood’s smoke. Touch the cozy blanket, taste the sweet hot chocolate, and look out of the window at the deer finding food in the snow outside. Experience the feeling of having nothing else to do but eat, read, and go snowshoeing.

Your goal is to immerse yourself fully in the scene: this includes what you can see, taste, touch, and smell, as well as how you feel. The more details that you can include in your imagery, the more effective this technique will be.

Tip:

Keep in mind that when you first begin to use imagery, it might feel strange, and you may have difficulty immersing yourself fully in your imagined scene. With practice, this will get easier; your imagination will get stronger, and you’ll be able to enter a relaxed state more quickly.
Step 3: Relax

Stay in your relaxed scene for as long as you feel comfortable, or as long as your schedule allows. Continue breathing deeply, and try not to let any outside thoughts intrude.

When you’re ready to leave, sit quietly, and let your mind turn back to the situation at hand. You’ll now feel much more relaxed, in control, and ready to tackle your challenges.

Key Points
Guided imagery is a useful technique for managing stress and coping with difficult situations. In this technique, you imagine a scene, time, or place that is peaceful and that has an emotional connection with you.

Step 1: Find a quiet place.
Step 2: Choose your setting. Imagine yourself there, use all of your senses to immerse yourself in the experience, and include as many details as possible.
Step 3: Relax, for as long as your schedule allows you to.

Keep in mind that imagery is most effective when you use all your senses. The more details that you can include in your imagined scene, the easier it will be to relax.

Warning:

Stress can cause severe health problems and, in extreme cases, it can cause death. While stress management techniques have been shown to have a positive effect on reducing stress, they are for guidance only, and readers should take the advice of suitably qualified health professionals if they have any concerns over stress-related illnesses, or if stress is causing significant or persistent unhappiness.

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2014′ FDA Drug Safety Communications

2014 Drug Safety Communications

FDA Drug Safety Communication: FDA reporting mental health drug ziprasidone (Geodon) associated with rare but potentially fatal skin reactions
12/11/2014
FDA Drug Safety Communication: FDA warns about case of rare brain infection PML with MS drug Tecfidera (dimethyl fumarate)
11/25/2014
FDA Drug Safety Communication: FDA reviews long-term antiplatelet therapy as preliminary trial data shows benefits but a higher risk of non-cardiovascular death
11/16/2014
FDA Drug Safety Communication: FDA approves label changes for asthma drug Xolair (omalizumab), including describing slightly higher risk of heart and brain adverse events
9/26/2014
FDA Drug Safety Communication: FDA recommends not using lidocaine to treat teething pain and requires new Boxed Warning
6/26/2014
FDA Drug Safety Communication: FDA warns of rare but serious hypersensitivity reactions with certain over-the-counter topical acne products
6/25/2014
FDA Drug Safety Communication: FDA review of cardiovascular risks for diabetics taking hypertension drug olmesartan not conclusive; label updates required
6/24/2014
FDA Drug Safety Communication: FDA warns that cancer drug docetaxel may cause symptoms of alcohol intoxication after treatment
6/20/2014
FDA Drug Safety Communication: FDA warns of next-day impairment with sleep aid Lunesta (eszopiclone) and lowers recommended dose
5/15/2014
FDA Drug Safety Communication: FDA study of Medicare patients finds risks lower for stroke and death but higher for gastrointestinal bleeding with Pradaxa (dabigatran) compared to warfarin
5/13/2014
FDA Drug Safety Communication: FDA requires label changes to warn of rare but serious neurologic problems after epidural corticosteroid injections for pain
4/23/2014
FDA Drug Safety Communication: FDA clarifies Warning about Pediatric Use of Revatio (sildenafil) for Pulmonary Arterial Hypertension
3/31/2014
FDA Drug Safety Communication: FDA approves label changes for antibacterial Doribax (doripenem) describing increased risk of death for ventilator patients with pneumonia
3/6/2014
FDA Drug Safety Communication: FDA to review heart failure risk with diabetes drug saxagliptin (marketed as Onglyza and Kombiglyze XR)
2/11/2014
FDA Drug Safety Communication: FDA evaluating risk of stroke, heart attack and death with FDA-approved testosterone products
1/31/2014
FDA Drug Safety Communication: FDA warns of possible harm from exceeding recommended dose of over-the-counter sodium phosphate products to treat constipation
1/8/2014

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“Emotional Intelligence”

EMOTIONAL INTELLIGENCE:

Emotion holds an over-arching control on humanity.
All decisions are monitored with regards to anger, happiness, boredom, or sheer frustration; how often, for example, have you chosen to watch a particular movie because you were sad? How often have you gone on vacation out of frustration of your daily grind lifestyle? You are a slave to your emotions. They are as much a part of us as your skeleton, as your kidneys and liver.

Your emotions are complex, psychological, involving three segments: a psychological response, a subjective experience, and an expressive, occasionally behavioral response. The subjective experience refers to the fact that people all over the world- regardless of their particular culture-experience the same basic emotions. However, these basic emotions have a highly subjective range of experience. Therefore, sadness means something different for everyone, besides the fact that it is a very basic human response to something upsetting.

Your psychological response is precisely what it sounds like, of course. When your stomach flutters with anxiety, when your heart beats rapidly, you are experiencing psychological responses to your emotions. Research shows that the amygdala, a portion of the brain, triggers these reactions as it enacts a very big role in the formation of emotions, most notably, in the formation of fear. Your behavior response, on the other hand, is your very particular expression of your emotion.

You enact your emotions and show them on your sleeve so often, as the expression goes. These expressions can be universal, like a smile indicating happiness; alternately, they can be cultural.

This expression of emotion is precisely what emotional intelligence is concerned with. Your ability to understand other people’s emotional expression is your emotional intelligence; some researchers state that your emotional intelligence is actually more important than your IQ.

After all, with a proper emotional intelligence, you can interact with people from all over the world. You can parse through any conversation because you understand, essentially what the other person is feeling. You can read them like an open book. Therefore emotional intelligence is like a map to the world.

1. Perceiving Emotions:
The initial step on the road to emotional intelligence is having the ability to correctly perceive emotions. This generally involves picking up on nonverbal clues like facial expression and body language and having the ability to assess what these things mean.

2. Reasoning and Thinking with Regards to These Emotions:
This step requires the utilization of emotions in order to promote cognitive activity. Through emotions, you can begin to prioritize the things you are paying attention to; you can garner your emotions with regards to the things that gain your attention.

3. Comprehending Emotions:
In this step you will look at your emotions a little bit closer. Each emotion carries a plethora of meaning. For example, if you see someone with angry emotions you must understand precisely where this anger came from and what this might mean for the person and for your surroundings. If in this example,, your friend is acting angry, he could be angry with something you sad last night; alternately, he could be angry because he got a speeding ticket or finds himself in a fight with his girlfriend.

The meaning behind different people’s emotions is incredibly varied, and it’s best not to any conclusions. Furthermore, you must begin to comprehend your own emotions. When you feel a certain way, you must diagnose where those feelings came from. What triggers you? This can help you understand yourself a little better.

4.
Managing Emotions:
You must begin to manage and regulate your emotions. Through this, you can begin to respond appropriately to your emotions and the emotions of others. This is the true high-level focus of emotional intelligence. You must have the ability to apply your perceptions of the world……………………

Jan McAvoy

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May is “Mental Health Month” *B4STAGE4*

MAY is MENTAL HEALTH MONTH: “B4Stage4;”

“MAY is Mental Health MONTH”
http://www.mentalhealthamerica.net/may TOOK KIT:

Every month Mental Health America chooses a theme. This year the theme is “B4stage4.” Mental Health concerns are no different from any other physical condition/health concerns. They should be thought about and treated the same way-long before they reach Stage 4.

For too long mental health has not been framed this way. Instead too many people have been trapped in stage 4 thinking about them. They wait until-after a crisis-until someone is a “danger” for themselves or others. THIS IS WRONG! We do not do this for cancer, heart disease, or diabetes. We shouldn’t do this for Mental Health concerns, either.

So this may we care asking all to help us turn the attention of our nation upstream-before mental health concerns become mental health crises. That’s really what acting B4stage4 is all about. In our May mental health took kit we’re offering a range of materials, strategies, and resources to bring healthy B4stage4 thinking to life. It’s all a part of keeping the focus of the month on mental health-a time we dedicate ourselves to protecting our health, to preserving our mental health, and to preventing bad and sometimes tragic outcomes from ever happening again.

The 2015 May is Mental health month took kit is designed for MHA affiliates, advocates, and organizations, and you of all types to raise awareness of the importance of addressing mental health.

Many of you are likely on your way to planning for mental Health Month, If not here are some ideas to help you.

-Ask your governor or mayor to declare May as Mental Health Month, using the sample proclamation that is part of the tool kit.

-Contact your local heart, diabetes, cancer, or ling association to partner and share messages about mental health and the importance of treating it like any other health condition. Offer to host a work shop or etc.

-Organize a community run or walk for mental health. Reach out to your local media for assistance in promoting the event.

Send a viral email to all your family members, and friends, and local officials inviting them to participate.

-TEAM up with your local school district to promote children’s mental health during National Children’s Mental Health Awareness Day (Thursday May 7th.)

– Post to your organization’s social media networks, Face Book, Twitter, Pinterest, Linkedin, etc. to raise awareness of May as Mental Health Month. Make sure to use the May is mental health Month hashtags: #mhmonth2015 or B4Stage4.

LET US KNOW WHAT YOU GOT PLANNED

Tell us about your events so we can post them on MHA’s Web Calendar, and help you get the word out. Contact Antionette Means at ameans@mentalhealthamerica.net with the following information:

-Name of Event
-Date
-Location
-Brief Description
-Registration/Sign-Up instructions
-Contact Person…..

Brochures are available through the Mental Health America store to supplement the information provided in the 2015 B4Stage4-May Mental Health Month Tool Kit!

Many people do not seek treatment in the early stages of mental illness because they do not recognize the symptoms.

Up to 84% of the time between the first signs of mental illness and first treatment is spent not recognizing the symptoms.
Mental Health America’s screening tools can help. Taken “on line” @ http://www.mhascreening.org

A screening is anonymous, free and a private way to learn about your mental health and see if you are showing warning signs of a mental illness. A screening only takes a few minutes, and after you are finished you will be given information about the next steps you should take based on the results. A screening is not a diagnosis, but it can be a helpful tool for starting a conversation with your doctor or a loved one about your “Mental Health.”

MENTAL HEALTH MONTH 2015 “B4Stage4”

-WHEREAS, mental health is essential to everyone’s overall mental health and well-being, and

-WHEREAS, all Americans experience times of difficulty and stress in their lives; and

-WHEREAS, prevention is an effective way to reduce the burden of mental health conditions; and

-WHEREAS, there is a strong body of research that supports specific tools that all Americans can use to better handle challenges, and protect their health and well-being ; and

-WHEREAS, mental health conditions are real and prevalent in our nation; and

-WHEREAS, each business, school, government agency, health care provider, organization, and citizen shares the burden of mental health problems and has a responsibility to promote mental wellness and support “prevention efforts.”
MORE ideas and information to promote Mental health Month of May:

OUT REACH TOOL KIT @ http://www.mentalhealthamerica.net/may

Jan McAvoy

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Free Affirmations “Positive Emotional Health”

Present Tense Affirmations
I am happy with life
I am resistant to damaging influence
I am contempt with my life
I enjoy whatever life throws at me
I am able to build strong relationships
I recover from unsettling setbacks
I am easygoing
I handle stressful situations with poise
I am open to guidance from my peers
I am in control of my emotions

Future Tense Affirmations
I will be more emotionally stable
I will look on the bright side of things
I will be happy with what I have
I am becoming more emotionally healthy
I will be able to maintain healthy relationships
I will feel good about myself
I will see myself in a better light
I will appreciate life for all it’s worth
I will be more open to change
I will live life to the fullest

Natural Affirmations
I am naturally happy
I have high levels of confidence
I trust my abilities to adapt to change
Others see me as emotionally steady
My self-esteem is high
I am naturally laid-back
I can recover from stress
Change is easy to adjust to
I am self-disciplined
I appreciate all that life has to offer

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Free Affirmations “Live without Regrets”

Present Tense Affirmations
I am free from my past regrets
I am living my life without regrets
I am at peace with my past regrets
My mind is focused on enjoying the present moment
I am on the path to a brighter future
I accept my life and everything I have done
I live in the present and look to the future
I am letting go of my past regrets
I am always positive even when remembering my past regrets
I accept my past regrets knowing they have made me a better person

Future Tense Affirmations
I will live without regrets
My enthusiasm for life is growing
I am starting to live life to the max
Accepting my past becomes easier with each passing day
I am transforming into someone who lives happily in the present moment
Letting go of my regrets is becoming easier and more natural
I will move on with my life
I will become free from regrets
I am starting to see that my future will be bright and happy
I am beginning to see my past in a more positive light

Natural Affirmations
I deserve to live a live without regrets
I find it easy to live without regrets
Living my life free from regrets comes naturally to me
I have accepted my past regrets and am now ready for the future
It will feel incredible to free myself from past regrets
I am moving forward and leaving my regrets in the past
I have hope for a brighter future
Living a life free from regrets will make me happy and content
I have accepted my regrets and am ready to move on
My mind is relaxed and focused on the present moment

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Free Affirmations “Control Your Emotions”

Present Tense Affirmations
I am in control of my emotions
I am always centered and calm
I always keep control of myself at all times
My mind is focused, clear, and logical
I stay calm in stressful situations
I am strong and in control
I am able to deal with stressful situations in a controlled manner
I feel emotions without losing control
I deal with excess emotions in a positive way
My emotions are under control at all times

Future Tense Affirmations
I will remain calm
I will control my emotions
I am transforming into someone who is naturally calm and collected
Others are beginning to notice how in control of myself I am
I am finding it easier to calm myself down
I am gaining more control over my emotions with each passing day
Controlling my emotions is becoming easier and easier
I am beginning to think logically, even in stressful situations
Stressful situations are becoming easier to deal with
I will deal with my emotions in a positive fashion

Natural Affirmations
Controlling my emotions is easy for me
Feeling calm is normal for me
I can easily manage my emotions
I can think clearly even in difficult and tense situations
My mind is always calm, clear, and logical
Moderating my emotions is something I just do naturally
I can feel emotions without spinning out of control
Controlling my emotions will improve my life
Others will look to me as someone who remains calm in stressful situations
I have the power to completely control my emotions

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Free Affirmations “Break Free from your Past”

Present Tense Affirmations
I am breaking free from my past
I accept my past experiences
I am at peace with my past
I am coming to terms with negative memories
I forgive myself for making mistakes
I am on the path to a brighter future
I learn from my experiences and they help me to grow as a person
I am strong because of everything I have been through
I am at peace with myself and am ready to move forward
I am free from my past

Future Tense Affirmations
I will break free from my past
I will make peace with my memories and experiences
I will transform negative experiences into positive personal growth
I am finding it easier to think positively about my past
I am beginning to let go of my past
Each day I find myself more and more detached from the past
I will have a brighter future
My mind is starting to be less focused on negative memories and experiences
I will accept my past and move on
My past is becoming less of a concern to me with each passing day

Natural Affirmations
I deserve to make peace with my past
Letting go of memories and experiences comes naturally to me
I am more valuable than just my memories and past experiences
I naturally transform negative experiences into positive growth
The difficulties in my life have only made me stronger
Making peace with my past is the key to a brighter future
Breaking free from the past is something I can and will do
My mind is peaceful, relaxed, and free from the past
I have the power to break free from my past and create a better life for myself
I find it easy to process experiences and constantly move forward

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