Funded by a federal-state partnership charged Medicaid for health services for certain categories of arms (incl. Poverty in old age, blind or disabled and low-income families and dependent children). The federal government contributes 50% to about 76% of the payments were made under the programs of each State; the state pays the rest. The refund on the federal level is higher for countries where incomes are lower. About 10% of older people receive benefits under Medicaid, they will account for 40% of all Medicaid spending. Medicaid is the large public payer for long-term care; according to a report by the Congressional Budget Office from 2012 is Medicaid for 47% of total expenditure on long-term care and for 39% of total expenditure for the nursing home care in the United States. What is covered to provide services under federal guidelines include. a. inpatient and outpatient hospital care, laboratory and x-ray examinations, medical services, skilled nursing, care in the home, which is not covered by Medicare, and many home health services for persons> 21 years old. The States may cover certain other services and products, including prescription drugs (or the premiums for Medicare Part D if patients qualify for Part D), dental services, eyeglasses, physical therapy, rehabilitation and intermediate Cleaning product. Each State shall determine the conditions for authorization, which vary so, but the people, the resources from the financial aid programs related (eg. As Supplemental Security Income Program) must be included. Several states offer enriched packets from Medicaid Services waiving Waiver programs that are intended to delay admission to a nursing home with additional home and community-based services or prevent (z. B. day care, personal care, respite care) , Authorization Authorization depends on income, wealth and personal characteristics. The Affordable Care Act will expand the coverage through Medicaid to all persons <65 years with incomes <133% of the state poverty line if they are resident in a country which opts for the expansion of Medicaid. Most states have different criteria, qualify people for Medicaid. Assets, excluding equity in a house and certain other assets, are also considered. If the remaining assets exceed the limit that people do not qualify for Medicaid even if their income is low. Thus, older people may be forced to pay the maintenance so long with personal savings and the sale of assets that are to strict government requirements are met, they qualify for Medicaid. The percentage of your monthly income and the assets of a couple in which one spouse is residents of a nursing home, varies by state. The sale of assets under a fair market price over the last three years before entering a nursing home may delay qualify for Medicaid benefits. Medicaid vewiegert the cover for a period of time is determined by dividing the amount of inappropriate funds sold by the average monthly cost for nursing home care in the state. If a person for. B. $ 10,000 giving away in a State in which lie the average monthly cost of care at $ 3,500, coverage through Medicaid is delayed by about 3 months. Recruitment of real estate by Medicaid under certain circumstances, Medicaid authorized (and sometimes forced) to recover costs from the estates of deceased Medicaid recipients. Typically, the recovery only from estates of recipients can be done, who were ? 55 years old when they received Medicaid benefits, or were independent permanently institutionalized age. Fixing the property varies by state. Some states only include property that goes through probate courts; others include assets, which are inherited directly (eg., by joint tenancy with right of use for life, living pins or payment of life insurance). Some states protect the family home before Medicaid claims. The vigor with which the claims are followed varies according to country and from case to case. Medicare Savings Programs persons who are currently eligible for Medicare and whose income and assets below certain thresholds are, are eligible for Medicare Savings Programs. These programs are run by individual state Medicaid programs and cover certain payments out of pocket from which are not reimbursed by Medicare. There are several programs. The Qualified Medicare Beneficiary Program covers part A and Part B premiums, deductibles and co-insurance; The Specified Low-income Medicare Beneficiary Program and Qualified Disabled Working Individual Program pay the Part B premium. The Federal Government has set the eligibility requirements based on income and asset situation. The states are free to adopt less restrictive requirements (z. B. enrollment in higher incomes permit). Enrollment takes place on state Medicaid offices.