Question

Select a federal or state program that provides services to the special needs population. Determine how persons qualify, what services are available, how clients are identified, and what (if any) services are available for support of the entire family.

Answer 1

Medicare is an example of federal or state health program which provides healthcare services to promote health of the population .

Medicare is a social insurance program administered by the United States government, providing health insurance coverage to people who are aged 65 and over, or who meet other special criteria.

#. Medicare is a health insurance program for / eligibility :-

people age 65 or older,

people under age 65 with certain disabilities, and

people of all ages with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a kidney transplant

#.Medicare provides various services :-

Part A Hospital Insurance

Part B Medical Insurance

Part C Medicare Advantage

Part D Prescription Drug Coverage

Medicare part A 1

Inpatient care in hospitals (such as critical access hospitals, inpatient rehabilitation facilities, and long-term care hospitals)

Considered an inpatient the day a doctor formally writes an Inpatient admit order

Inpatient care in a skilled nursing facility (not custodial or long term care)

Hospice care services

Home health care services

Inpatient care in a Religious Nonmedical Health Care Institutions

Medicare Part A 2

The patient is responsible for a deductible amount for inpatient hospital services in each benefit period

Medicare Part A 3

The coinsurance amount is based on the deductible applicable for the calendar year in which the coinsurance days occur. The deductible is satisfied only by charges for covered Part A services. Expenses for covered services count toward the deductible on an incurred, rather than paid, basis.

Medicare Part A 4

In each benefit period, the patient is responsible for coinsurance amounts equal to:

One-fourth of the inpatient hospital deductible for each day of inpatient hospital services from the 61st through the 90th days;

One-half of the inpatient hospital deductible for each lifetime reserve day (the 91st through the 150th days of inpatient hospital services); and

For any hospital stay that lasts longer than 150 days within a single benefit period, you will be required to pay the full cost for each day after the 150th day.

Medicare Part A 5

Durable Medical Equipment (DME) Furnished as a Home Health Benefit

The patient is responsible for 20 percent of the payment amount for DME furnished as a home health benefit.

Medicare Part A 6

A benefit period begins with the first day (not included in a previous benefit period) on which a patient is furnished inpatient hospital or extended care services by a qualified provider in a month for which the patient is entitled to hospital insurance benefits

Medicare Part A 7

The benefit period ends with the close of a period of 60 consecutive days during which the patient was neither an inpatient of a hospital nor of a SNF.

To determine the 60 consecutive day period, begin counting with the day the individual was discharged.

Medicare Part A 8

It is important to note that a benefit period cannot end while a beneficiary is an inpatient of a hospital, even if the hospital does not meet all of the requirements that are necessary for starting a benefit period. Similarly, a benefit period cannot end while a beneficiary is an inpatient of a SNF

That is, the beneficiary cannot have been in a facility that is primarily engaged in providing, by or under the supervision of a physician(s), to inpatient

#. Clients are identified based on the eligibility and needs of the patient

#. If services are available for the support of the entire family ,then provisions are made to provide the care and support needed to the patient