Medicare / Medicaid

• Agencies / Organizations
  • Center for Studying Health System Change
    Research examining the effects of Medicare payment policy on providers and health plans & analysis of Medicaid coverage for low-income populations.
  • Centers for Medicare & Medicaid Services
  • Kaiser Family Foundation
    Research & analysis of health care coverage & access for low-income populations, current Medicare policy issues, key trends, etc.
    
    
• Directories
  • CMS Contact Information Directory (Centers for Medicare & Medicaid Services)
  • Medigap Helpline (WI Board on Aging & Long Term Care)
    Help with questions about Medicare Supplements, Long Term Care Insurance and other health care plans available to Medicare beneficiaries. 
    
    
• General
  • Health Care, Medicare & Long Term Care (Nolo.com)
    
    
• Medicaid
  • Directories
    • WI Medicaid Contacts (WI Dept. of Health Services)
      
      
  • Divestment of Assets
    • Answering Your Questions About Divestment (Elder Law Center)
      Overview of how giving away assets can affect Medicaid eligibility for individuals in nursing homes and other institutional settings.
    • WI Statutes: s. 49.453 - 49.454 Divest of Assets; Treatment of Trust Amounts
    • WI Admin. Code: DHS 103.063 - 103.065 "Divestment..."
    • U.S. Code: 42 USC 1396p(c) "... Transfers of Assets"
      
      
  • Medicaid (Centers for Medicare & Medicaid Services)
    Includes enrollment & coverage, fraud & abuse, prescription drugs, etc.
  • Medicaid Overview (Cornell Legal Information Institute)
  • Medicaid Links (Medline Plus)
  • Medicaid Resource Book (Kaiser Family Foundation)
    Includes who & what Medicaid covers, how it is financed, and how it is administered. Provides index to Medicaid statute & regulations, legislative history, glossary, etc.
    
    
  • Spousal Impoverishment
    • Spousal Impoverishment Protections Under the Wisconsin Medical Assistance Program (Elder Law Center, 2009)
      Provisions "enacted to protect a spouse at home from becoming poor when his or her spouse is considered “institutionalized,” either because he or she resides in a nursing facility or because he or she receives certain long-term care services in the community."
    • WI Statutes: s. 49.455 "Protection of Income and Resources of Couple for Maintenance of Community Spouse"
      
      
  • Wisconsin Medicaid (WI Dept. of Health Services)
    Medicaid information for recipients and providers including eligibility requirements and applications.
    • Medicaid Eligibility Handbook
    • Medicaid Estate Recovery Program
      
      
• Medicare
  • Directories
    • Medicare: Healthcare Provider Directory (Medicare.gov)
    • Medicare Helpful Contacts (Medicare.gov)
      
      
  • Complaints / Fraud
    • Medicare Fraud (Medicare.gov)
    • Wisconsin SMP (Medicare) (Coalition of WI Aging Groups)
      Report problems with your benefit or prescription drug plan. Report deceptive advertisements & bad sales practices. Learn about Medicare scams, errors, fraud and abuse. Locate information regarding problems with plan coverages.
      
      
  • Medicare: The Official U.S. Government Site for People with Medicare
    
    
  • Medicare: Understanding Your Options (Coalition of WI Aging Groups)
    Brief overview of the advantages & disadvantages of a Medicare Advantage plan.
  • Medicare (Centers for Medicare & Medicaid Services)
    Includes program information, coordination of benefits, prescription drugs, health plans, fraud & abuse, preventive disease resources, etc.
  • Medicare Overview (Cornell Legal Information Institute)
  • Medicare Links (Medline Plus)
  • Wisconsin Guide to Health Insurance for People with Medicare(WI Office of the Commissioner of Insurance, 2010)

The Law (Additional statutes, regulations & opinions may apply to your specific situation.)

• WI Statutes: ch. 49 "Public Assistance"
• WI Statutes: s. 49.496(3)(b) "Recovery of Correct Medical Assistance Payments"
• WI Statutes: ch. 632, sub. ch. 6 "Disability Insurance"
• WI Admin. Code: DHS 101 - 109 "Medical Assistance"
• Federal
  • H.R. 3590 Patient Protection and Affordable Care Act
  • H.R. 4872 Reconciliation Act of 2010
  • U.S. Code: 42 USC 1395-1395ggg "Health Insurance for Aged and Disabled"

Search for more statutes, regulations & opinions.

Last Updated: August 16, 2010 | Up to Top