This webinar is part two of a three part training series that will provide basic and necessary information on Medicaid, a federal-state program that often provides health care coverage for low-income families and those with disabilities. The second module will concentrate on Medicaid options for children with special needs. The overall purpose of these modules is to assist family support providers and others with a general knowledge of Medicaid and to provide some guidance on where to turn for resources and further information.

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Welcome to the
Military Families Learning Network Webinar
This material is based upon work supported by the National Institute of Food and Agriculture, U.S. Department of Agriculture,
and the Office of Family Policy, Children and Youth, U.S. Department of Defense under Award Numbers 2010-48869-20685 and 2012-48755-20306.
Part 2 Medicaid & Military Families:
Children with Special Needs

2. This material is based upon work supported by the National Institute of Food and Agriculture, U.S. Department of Agriculture,
and the Office of Family Policy, Children and Youth, U.S. Department of Defense under Award Numbers 2010-48869-20685 and 2012-48755-20306.
Research and evidenced-based
professional development
through engaged online communities.
eXtension.org/militaryfamilies
Welcome to the
Military Families Learning Network

3. POLL
How would you best describe your current employer?

4. This material is based upon work supported by the National Institute of Food and Agriculture, U.S. Department of Agriculture,
and the Office of Family Policy, Children and Youth, U.S. Department of Defense under Award Numbers 2010-48869-20685 and 2012-48755-20306.

5. This material is based upon work supported by the National Institute of Food and Agriculture, U.S. Department of Agriculture,
and the Office of Family Policy, Children and Youth, U.S. Department of Defense under Award Numbers 2010-48869-20685 and 2012-48755-20306.
Available Resources
https://learn.extension.org/events/1699

6. The Military Caregiving Concentration team will offer 1.00
CE credit hour from NASW.
*Must complete evaluation and pass post-test with an 80%
or higher to receive certificate.
Link to evaluation and post-test will be available at the end
of the presentation.
This material is based upon work supported by the National Institute of Food and Agriculture, U.S. Department of Agriculture,
and the Office of Family Policy, Children and Youth, U.S. Department of Defense under Award Numbers 2010-48869-20685 and 2012-48755-20306.
Evaluation & CE Credit Process

7. WVU TRAINING MODULE 2

8. L. Christopher Plein, Ph.D.
Professor of Public Administration
Eberly Family Professor for Outstanding Public Service
West Virginia University

9. • Medicaid options for children with special needs
• Eligibility options through income or deeming
waivers
• Access to Home and Community Based Services
(HCBS) through program waivers
• State Research and Demonstration waivers that
provide new delivery models and expand
coverage

10. • The Military Health System provides many
services and benefits for children with special
needs.
• Sometimes families need to go outside of the
military system to seek services and care.

11. • Families may turn to Medicaid because of
TRICARE coverage limits or because they will no
longer be receiving TRICARE.

12. • Medicaid can provide many benefits, both basic
coverage and more specialized services.
• Eligibility for Medicaid is usually based on income
status.
• Certain disabilities or special needs will qualify
families for Medicaid services, based on type and
severity.

13. • In many circumstances, family income will be
waived to allow children to have access to
Medicaid service.
• Commonly referred to as “Katie Beckett” waivers
are often used when a child would not otherwise
qualify due to family income.
• Used primarily to help children qualify for home
and community services (HCBS).

14. • States have different deeming procedures, these
will vary in terms of which agencies conduct
reviews, what standards that are used, etc.
• Many states allow for Medicaid coverage for
children receiving Supplemental Security Income
(SSI) benefits. This simplifies the Medicaid
eligibility process.

15. • HCBS coverage and benefits are usually not
standard benefits offered under Medicaid.
• HCBS are usually offered through another type of
waiver – a special program that may limit
eligibility and availability of services.

16. • These are commonly called Health and
Community Based Services (HCBS) waivers.
• They provide care for individuals who would
otherwise have to seek treatment and services in
an institutional setting.

17. Common Medicaid HCBS coverage includes:
• Respite care
• In-home skilled nursing
• Home health aide assistance
• Transportation services
• Nutritional supplements, supplies, and
equipment necessary for home care

18. • HCBS waiver programs are not uniform across the
states, or even within some states.
• Procedures for determining eligibility and
authorizing access vary among the states.
• Eligibility does not convey across state lines.

19. • HCBS waivers are often targeted to a specific
population based on health condition.
• Eligibility is determined by the severity and
complexity of conditions.

20. • It is common for demand to outstrip available
services provided under the waiver.
• For non-institutional care, states often limit the
number of cases served. The number of cases
allowed are often called “slots.”
• Because of this, individuals may be placed on
“waiting lists.” But practices differ among the
states.

21. • HCBS program implementation practices vary
among the states.
• HCBS waivers are operated under state authority,
and often involve state Medicaid or Disabilities
agencies.
• The management may be delegated to specific
state agencies, local government agencies, and
even to community-based organizations.

22. Research and Demonstration waivers are state
specific waivers used to:
• Provide new benefits,
• Develop new program management and
delivery models,
• Extend benefits to new beneficiary groups.

23. • Medicaid “waivers” refer to standards, practices,
and programs that vary from established federal
regulations.
• Waivers are granted by the federal government to
the states to allow for program innovation and to
meet needs of target populations.
• Waivers are exceptions to the “rules” and thus
may be difficult to obtain.

24. • Military families with children with special needs
should utilize the services and benefits offered in
the military health system.
• Medicaid coverage helps families access
additional services, especially for non-
institutional care.
• Medicaid eligibility processes are complex and
access to services may be limited.

25. • Some states use “deeming” waivers to extend
eligibility to those who might not otherwise
qualify for Medicaid due to income.
• Many states provide HCBS services under waiver
programs, but access to these services can be
limited due to high demand and eligibility
restrictions.

26. • In our next training module, we will take a closer
look at Medicaid options for families with older
members with special needs, such as adult
children, spouses, and the elderly.

27. • Military OneSource. EFMP/Special Needs. Includes
links to and information on public programs,
resources, and more.
http://www.militaryonesource.mil/efmp

28. Summary of the West Virginia University Project
Team’s Reports on Medicaid and Military Families
with Children with Special Health Care Needs:
Accessing Medicaid and Waivered Services (2013).
http://www.militaryonesource.mil/12038/MOS/EF
MP/EFMP-MedicaidReport.pdf

29. The Military Caregiving Concentration team will offer 1.00
CE credit hour from NASW.
To receive CE credit please complete the evaluation and
post-test found at:
https://vte.co1.qualtrics.com/SE/?SID=SV_9tqrIBguC4Fcis5
*Must pass post-test with an 80% or higher to receive
certificate.
This material is based upon work supported by the National Institute of Food and Agriculture, U.S. Department of Agriculture,
and the Office of Family Policy, Children and Youth, U.S. Department of Defense under Award Numbers 2010-48869-20685 and 2012-48755-20306.
Evaluation & CE Credit Process

30. This material is based upon work supported by the National Institute of Food and Agriculture, U.S. Department of Agriculture,
and the Office of Family Policy, Children and Youth, U.S. Department of Defense under Award Numbers 2010-48869-20685 and 2012-48755-20306.
Part 3 Medicaid & Military Families: Adults w/ Special
Needs
Date: February 18, 2014
Time: 11:00 a.m. Eastern
Location: https://learn.extension.org/events/1700
For more information on MFLN–Military Caregiving go to:
http://www.extension.org/pages/60576
Military Caregiving Upcoming Event…

31. This material is based upon work supported by the National Institute of Food and Agriculture, U.S. Department of Agriculture,
and the Office of Family Policy, Children and Youth, U.S. Department of Defense under Award Numbers 2010-48869-20685 and 2012-48755-20306.
Family Development
Military Caregiving
Personal Finance
Network Literacy
Find all upcoming and recorded webinars
covering:
http://www.extension.org/62581
Military Families Learning Network