The Medicaid Law

The Medicaid Law

Medicaid is a federal program that the states choose to participate in. As noted on CMS website: “On July 30, 1965, President Lyndon B. Johnson signed into law legislation that established the Medicare and Medicaid programs.”  Medicaid is codified as Title XIX of the Social Security Act. Its sections are found in the United States Code in sections 42 USC §§1396–1396v. Regulations relating to Title XIX are contained in chapter IV, Title 42, and subtitle A, Title 45, Code of Federal Regulations.

CMS

The Centers for Medicare & Medicaid Services (CMS) is the federal agency, within the United States Department of Health and Human Services (HHS) THATadministers the Medicaid program. It works in partnership with state governments to administer Medicaid. CMS publishes the State Medicaid Manual as guidance to the states on implementation of their Medicaid programs. It may be found here.

Michigan Medicaid Enactment

States must choose to participate in Medicaid.  Michigan’s Medicaid is found in the Social Welfare Act, MCL 400.105d et seq.  It may be found here.

Michigan Medicaid State Plan

The Michigan Medicaid State Plan is the agreement between the state and federal governments that identifies the general health care services, reimbursement, and eligibility policies in effect under Michigan Medicaid. It is the basis for the federal government (CMS/HHS) to pay its federal financial participation (FFP) for the program’s operation. The plan is written on a more general level than contained in program policy.” You may find the Michigan Medicaid State Plan here.

Michigan Medicaid Administrative Policies

The Michigan Medicaid program “policies” are found in the Bridges Eligibility Manual.  It may be found here.  The Bridges Policy Glossary defines terms used. It may be found here