HoG Handbook



Medicaid is an assistance program that pays certain medical expenses for low-income people. The federal government sets guidelines, but each state runs the program differently. The program covers basic health services. For children under 18 years old, there are special services such as dental care, screening exams, and immunization programs. In some states, Medicaid can provide transportation  to medical appointments. Doctor shaking hands

Anyone who receives Supplemental Security Income (SSI) or Temporary Assistance to Needy Families (TANF) automatically receives Medicaid. SSI and TANF are assistance payments to low-income people. Some people are eligible for both Medicare and Medicaid.

Persons who receive Medicaid generally do not pay for medical services, except in some cases when a co-pay is requested. This amount can vary. Medicaid pays the medical provider directly for services rendered. However, not all providers are part of the program. Many do not accept patients on Medicaid. It is important that Medicaid recipients always confirm a provider accepts their Medicaid and that Medicaid will cover the needed service(s) or item(s). Otherwise, the patient will be billed. Call the customer service number on the Medicaid card to find providers who accept Medicaid.

Even if you are not eligible for SSI or TANF, you may still be able to receive Medicaid. There are several Medicaid programs for which you could possibly qualify. If your income is too high to qualify for SSI or TANF, but your medical expenses are high, you may still be able to receive Medicaid (through a program called “Medically Needy”). Another Medicaid program called "Right from the Start Medicaid" has higher income limits and is for pregnant women and young children.

If you are interested in applying for Medicaid, contact your local Department of Family and Children Services. Your HTC social worker can also assist you.