Overview of Medicaid and Medicare

Outline:
Section 1: Introduction

About This Course

Learning Objectives

Section 2: The Medicaid & Medicare Systems

Meet Jasmine

What Are Medicaid and Medicare?

Organization and Administration

Medicare Basics

Medicaid Basics

Medicaid and Medicare Together

Long-Term Services and Supports

Related Programs

Review

Summary

Section 3: Compliance and Eligibility

Remember Jasmine?

Compliance and Eligibility

Medicare Eligibility

Medicaid Eligibility

Financial Implications of Eligibility

Financial Protections

Service Authorizations

Service Regulations

Compliance

Review

Summary

Section 4: Conclusion

Course Summary

Course Contributors

Resources

References

Congratulations!

Katy Kunst received her Bachelor of Arts in Psychology from the University of North Carolina at Chapel Hill, and her Master of Business Administration from Elon University. She has 15 years of experience serving people with intellectual and developmental disabilities and their supporters, including roles as direct support professional, program director, and training facilitator. She has created and facilitated training on topics including non-violent crisis interventions, person-centered planning, cultural competence, quality service delivery, regulatory compliance, and a variety of topics related to IDD services. Disclosure: Katy Kunst, MBA, QIDP has declared that no conflict of interest, Relevant Financial Relationship or Relevant Non-Financial Relationship exists.

Ms. Nelson is a licensed social worker who has over 17 years of experience working in the social work field. She currently does contract work for Residential Services, Inc. where she serves individuals with developmental disabilities. One of her primary roles is assisting with Social Security, Medicare, and Medicaid funding. She completes annual reviews and monitors funding on a regular basis to ensure each person is receiving their maximum benefit entitlement. Her educational background includes a bachelor’s degree in Human Development and Family Studies from Auburn University and a master’s degree in Social Work from East Carolina University. Disclosure: Alison Nelson, LGSW has declared that no conflict of interest, Relevant Financial Relationship or Relevant Non-Financial Relationship exists.