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Strategies & Market Trends : The Residential Real Estate Crash Index
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To: Elroy Jetson who wrote (7742)1/2/2003 11:56:30 PM
From: GraceZRead Replies (1) of 306849
 
The largest Federally mandated program, paid for by the States, is healthcare. Medi-Cal (Medicaid in other states) and unreimbursed healthcare are the cause of the State deficits, once tax revenues declined.

Medicaid is administered by the states but it is jointly funded by the Feds and the States. Notice that a portion of all Social Security payments go to Medicare/Medicaid (2.9%) which is administered by HCFA (now called Medicaid and Medicare Services). The Feds provide funds and only provide broad guidelines to the states.

Overview of the Medicaid Program

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Title XIX of the Social Security Act is a program which provides medical assistance for certain individuals and families with low incomes and resources. The program, known as Medicaid, became law in 1965 as a jointly funded cooperative venture between the Federal and State governments to assist States in the provision of adequate medical care to eligible needy persons. Medicaid is the largest program providing medical and health-related services to America's poorest people.Within broad national guidelines which the Federal government provides, each of the States:



1.establishes its own eligibility standards;
2.determines the type, amount, duration, and scope of services;
3.sets the rate of payment for services; and administers its own program.


Thus, the Medicaid program varies considerably from State to State, as well as within each State over time.
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