Coffey Gene
NSCLC's, National Legal Resource Center Grant, U.S. Administration on Aging, USA.
Caring. 2010 Jan;29(1):34-6, 38, 40.
Medicaid's coverage for home health services is a critical source of support for individuals with chronic needs. Generally, the Medicaid services available to individuals striving to stay in the community, such as personal care services or a package of home and community-based services delivered through a waiver or state plan benefit, are completely at state option to provide. The home health benefit, however, has the unique status in the Medicaid program of being a mandatory community-based service that is long-term in nature. Furthermore, while many Medicaid recipients are also enrolled in Medicare (the "dual eligibles") and thereby may receive Medicare coverage for home health care services, Medicaid's home health eligibility requirements are less restrictive than Medicare's, which may provide these individuals with greater access to the service.
医疗补助计划对家庭健康服务的覆盖范围是有长期需求者的关键支持来源。一般来说，努力留在社区的个人可获得的医疗补助服务，如个人护理服务或通过豁免或州计划福利提供的一系列居家和社区服务，完全由各州自行决定是否提供。然而，家庭健康福利在医疗补助计划中具有独特地位，它是一项强制性的、长期的社区服务。此外，虽然许多医疗补助领取者也参加了医疗保险（“双重资格者”），因此可能获得医疗保险对家庭健康护理服务的覆盖，但医疗补助计划的家庭健康资格要求比医疗保险的要求限制更少，这可能使这些人更容易获得该服务。
