Medicaid offers a variety of pathways for individuals and families to access healthcare coverage, one of which is the Categorically Needy Medicaid program. This program targets specific groups of individuals who meet certain categorical requirements, ensuring they receive the essential medical services they need.
Categorically Needy Medicaid eligibility is based on meeting specific categorical criteria established by federal and state guidelines. While these criteria may vary slightly from state to state, they generally include the following categories:
Medicaid provides coverage for low-income children under specific age thresholds, typically up to age 18, although some states extend coverage beyond this age for certain populations, such as individuals with disabilities.
Pregnant women with limited income may qualify for Medicaid coverage to ensure access to prenatal care, delivery services, and postpartum care.
Low-income families with dependent children may be eligible for Medicaid coverage, with eligibility often based on income and family size.
Individuals aged 65 and older who meet income and asset criteria may qualify for Medicaid coverage to help cover the costs of healthcare services, including long-term care.
Those who are blind or have a disability that meets Social Security Administration criteria may be eligible for Medicaid coverage, regardless of age, provided they meet income and asset requirements.