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4.5. State Medicaid Coverage

State Medicaid Coverage

A medical insurance claim form sits on a messy desk waiting to be completed.

State Medicaid Overview

Medicaid is a state run program, which is subsidized, or partially paid for, with federal funds. Individual state Medicaid programs must follow a basic foundation of federally mandated DME coverage rules, but beyond this the states have some freedom to develop their own programs, policies and coverage criteria. You can find out information about your state's Medicaid program, including enrollment data and link's to individual state's sites, at the Medicaid website.

Required Medicaid Paperwork

State-by-State Inidividual Paperwork

Each State has varying requirements for specific paperwork required and fluctuating time frames to obtain prior authorization for mobility equipment. To find information about your state's  Medicaid paperwork requirements, you can visit their website (a listing can be found at the Medicaid website) or call them directly.

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Details about the Unified Medicaid Policies

Though the paperwork varries, the laws surrounding State Medicaid programs are consistent across the country.  

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Medicaid Discrimination
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Medicaid's Statutory Purpose:

Medicaid's purpose is clearly stated and backed up

Equal Protection – Age:

Equal Access to Care:

Found in Title XIX of the Social Security Act, 42 U.S.C. § 1396a:

Amount, Duration, and Scope Rule:

Reasonable Promptness Revision:

The Medicaid Act requires that a state plan for medical assistance:


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