Govt Healthcare Programs

The SSDI and SSI programs share many concepts and terms, however, there are also many, very important differences in the rules affecting eligibility and benefit payments.

Authorized by the Medicare Prescription Drug, Improvement and Modernization Act (MMA) in 2003 and implemented in January 2006, the Part D program covers beneficiaries through (1) a Prescription Drug Plan (PDP) for drug coverage only, or (2) a Medicare Advantage plan (MA) that covers medical services and prescription drugs (MA-PD).  Medicare beneficiaries have to affirmatively choose and enroll in a plan, unless they are dual eligible, having both Medicare and Medicaid.

An overpayment occurs when Social Security pays you more than you should have been paid.  If this happens, we will notify you and your representative payee, if you have one. Our notice will explain why you have been overpaid, your repayment options, and your appeal and waiver rights.

1619(a)

1619(a) allows SSI recipients to continue receiving SSI cash payments even when earnings exceed the SGA level ($940/month for non-blind and $1,570/month for blind - 2009). As earnings increase, SSI cash payments decrease until earnings completely replace cash benefits; there is no effect on Medicaid coverage.

Medicaid Insurance for Workers with Disabilities (MIWD), referred to by some as Nebraska's Medicaid Buy-In, is intended to allow people with disabilities who are competitively employed and who, because of wages would lose their benefits, to purchase Medicaid like private insurance. The program is administered by the Nebraska Department of Health & Human Services and was implemented in July of 1999.

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The purpose of ongoing evaluations of MIWD are to obtain an accurate picture of clients, determine the value of the program for the clients, evaluate the Medicaid Eligibility Workers’ awareness of program procedures, attitudes about people with disabilities and employment, and provide recommendations for improvement of MIWD.

Have questions about Medicare Part D?  Find out more at Anwsers4Families.org.

http://answers4families.org/information-services/medicare

Since Medicare, Medicaid and other types of health insurance can be confusing; the State of Nebraska has developed a program to educate older Nebraskans and people with disabilities about their health insurance.  This program is known as the Nebraska Senior Health Insurance Information Program, or SHIIP.

Access Nebraska is a new online DHHS resource for individuals to self-screen to see what financial assistance programs are offered and/or they may want to consider applying for. It is now possible to apply for and submit the online Application for Benefits with an electronic signature. Applicants will be contacted by a local DHHS office to complete the eligibility determination process.

http://accessnebraska.ne.gov/