Guam Application for Presumptive Eligibility for Medicaid

State:
Multi-State
Control #:
US-0538BG
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PDF
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Description

Use this form to find out quickly if you qualify for presumptive eligibility for Medicaid. Presumptive eligibility offers you and your family immediate access to health care while you apply for regular Medicaid or other health coverage.

Guam Application for Presumptive Eligibility for Medicaid is a crucial tool for individuals seeking access to healthcare services in Guam. This application is designed to expedite the process of determining eligibility for Medicaid, which is a government-sponsored program that provides comprehensive health coverage to low-income individuals and families. The Guam Application for Presumptive Eligibility for Medicaid serves as an initial step in the application process. It allows individuals to determine their preliminary eligibility for Medicaid benefits while their full application is being processed. This swift assessment helps those in urgent need of medical assistance to gain temporary coverage until their final eligibility is confirmed. The application includes essential information such as the applicant's personal details, employment status, income, and household size. These details are necessary to ascertain whether the person meets the income and resource thresholds set by the Medicaid program. Additionally, the application also requests details regarding the applicant's existing healthcare coverage, if any. By filling out the Guam Application for Presumptive Eligibility for Medicaid, individuals can promptly receive temporary Medicaid coverage, ensuring they have access to necessary medical services and treatments. This helps remove financial barriers and allows individuals to seek timely healthcare without worrying about the cost. Different types or variations of the Guam Application for Presumptive Eligibility for Medicaid may include: 1. Regular Application: This is the standard application form used by individuals who are applying for Medicaid for the first time or reapplying after a lapse in coverage. It covers all necessary information needed to determine eligibility and is applicable to general Medicaid coverage. 2. Emergency Application: In cases where individuals require immediate medical attention due to a life-threatening condition or emergency situation, an emergency application may be utilized. This form expedites the eligibility assessment process, ensuring individuals receive necessary medical care without delay. 3. Temporary Assistance for Needy Families (TANK) Application: TANK recipients may also be eligible for Medicaid. Therefore, an application specific to TANK recipients is available. It takes into account the additional information needed to determine eligibility for both TANK and Medicaid programs. In conclusion, the Guam Application for Presumptive Eligibility for Medicaid offers a streamlined process to determine initial eligibility for Medicaid benefits. It provides temporary coverage to individuals in urgent need of healthcare services, ensuring timely access to medical care. By accurately completing the application, individuals can pave the way toward receiving comprehensive healthcare coverage through the Medicaid program.

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Medicaid and the State Children's Health Insurance Program (CHIP) operate in the five U.S. territories? American Samoa, the Commonwealth of the Northern Mariana Islands (CNMI), Guam, Puerto Rico, and the U.S. Virgin Islands (USVI).

Federal rules for Medicaid benefits generally apply to Guam, and its Medicaid program provides all mandatory and many optional benefits, including dental coverage and prescription drugs. Guam is the only territory that covers all mandatory benefits, including nursing facility services.

Medicaid and Medicare programs are available on Guam. There is also a locally funded Medically Indigent Program (MIP) designed to pay for low-income families' medical expenses without other health insurance. Those who don't qualify for assistance may opt for private insurance.

Travel within the U.S. If you have Original Medicare, you have coverage anywhere in the U.S. and its territories. This includes all 50 states, the District of Columbia, Puerto Rico, the Virgin Islands, Guam, American Samoa, and the Northern Mariana Islands.

This is $1,536 per month for a family of four or approximately 61 percent of the federal poverty level, which is $2,500 per month for a family of four in 2021 (ASPE 2021). Guam has expanded Medicaid eligibility to the new adult group under the Patient Protection and Affordable Care Act (ACA, P.L.

The MIP is a 100% locally-funded program established by Public Law (P.L.) 17-83 in December 1984 to provide hospital access and medical services to those who lack sufficient income and cannot afford to pay for health care. The program is intended as the last resort for those in need.

Guam provides Medicare cost-sharing assistance to dually eligible individuals who are eligible for full Medicaid benefits.

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Guam Application for Presumptive Eligibility for Medicaid