Frequently Asked Questions

Contact your state Medicaid agency. They can help you get replacement cards and answer your questions about what services are covered, providers to use, and how to renew your eligibility.

FAQ ID:95141

No, an upper payment limit demonstration considers all Medicaid payments (base and supplemental). States must conduct UPL demonstrations for the applicable services described in State Medicaid Director Letter (SMDL) 13-003 regardless of whether a state makes supplemental payments under the Medicaid state plan for the services.

FAQ ID:92191

The cost of the tax should be reported in Variable 401 - MCD Provider Tax Cost. A state may separately report the Medicaid portion of the cost of a provider assessment/tax only when it is using a cost based methodology to calculate the UPL. A state may not include this cost when calculating a DRG or Payment based UPL demonstration.

FAQ ID:92366

States are required to cover certain benefits and others are optional. To learn what your state covers, contact your state Medicaid agency. To learn more about the Federal rules around mandatory and optional services, visit the benefits page.

FAQ ID:95101

Contact your state Medicaid agency. They can help answer your coverage questions and what to do when you have an access problem due to the declared emergency.

FAQ ID:95046

Contact your state Medicaid agency. They can help you get replacement cards and answer your questions about what services are covered, providers to use, and how to renew your eligibility.

FAQ ID:94571

Your state will determine if you qualify for Medicaid. Contact your state for renewal or application information.

FAQ ID:93381

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Since Medicaid is administered by the Medicaid agency in your state, eligibility may vary from one state to another. Contact your state Medicaid Agency with questions, or see if you qualify by applying. CMS is the federal agency that works with state Medicaid agencies to make sure they comply with federal laws and regulations.

FAQ ID:94506

Your state will determine if you qualify for Medicaid. Contact your state for renewal or application information.

FAQ ID:94516

State Medicaid and CHIP agencies have the primary responsibility for operation of the Medicaid and CHIP programs and they are your first and primary resource for assistance with your Medicaid and CHIP related questions, particularly as it relates to your eligibility status or benefits. If you have already contacted your State Medicaid Agency, you may contact the Centers for Medicare and Medicaid Services as follows:

Toll-Free: 877-267-2323
Local: 410-786-3000
TTY Toll-Free: 866-226-1819
TTY Local: 410-786-0727
Medicaid.gov Mailbox: Medicaid.gov@cms.hhs.gov

FAQ ID:94561