Medicaid: Enrollment and Expenditures for Qualified Individual and Transitional Medical Assistance Programs.

摘要

Qualified Individual (QI) and Transitional Medical Assistance (TMA) are particular programs within Medicaid that are targeted to specific groups of low-income individuals. The QI program provides assistance to certain low-income Medicare beneficiaries by paying for their Medicare Part B premiums and is due to expire on December 31, 2012. The TMA program offers up to 1 year of additional Medicaid health insurance benefits for certain low-income families who would otherwise lose coverage. Under permanent provisions of the Social Security Act (SSA), Medicaid coverage continues for 4 months for families who would otherwise lose coverage due to an increase in earned income or hours of employment or increased child or spousal support. In addition, under a provision expiring on December 31, 2012, families who would otherwise lose Medicaid eligibility because of earned income or hours of employment, or the loss of a time-limited earnings disregard, receive at least 6, and up to 12, months of Medicaid coverage. In light of the approaching expiration of the QI program and certain TMA provisions, Congress asked us to provide more information on the programs' enrollment and expenditures to inform consideration of reauthorization. This report provides information about enrollment and expenditures in both the QI and TMA programs at the national and state levels.