Patient Advocacy, Financial Assistance, and Healthcare Management
Self-Management Resource Center (formerly the The Stanford Patient Education Research Center)
Healthcare System and Coverage
The Center for Consumer Information & Insurance Oversight, Centers for Medicare and Medicaid Services: https://www.cms.gov/cciio/index.html
Centers for Medicare and Medicaid Services, Roadmap to Better Care: https://www.cms.gov/About-CMS/Agency-Information/OMH/equity-initiatives/c2c/consumerresources/roadmap-to-better-care.html
Centers for Medicare and Medicaid Services, Medicaid website: https://www.medicaid.gov/
National Association of Medicaid Directors: http://medicaiddirectors.org/
Centers for Medicare and Medicaid Services, Medicare: https://www.cms.gov/Medicare/Medicare.html?redirect=/home/medicare.asp
State Medicaid Programs
Welcome to the Alabama Medicaid Agency! Medicaid is a state/federal program that pays for medical and long-term care services for low-income pregnant women, children, certain people on Medicare, individuals with disabilities and nursing home residents. These individuals must meet certain income and other requirements.
Medicaid, an entitlement program created by the federal government, is the primary public program for financing basic health and long-term care services for low-income Alaskans. It is funded fifty percent by federal funds and fifty percent by State general funds. The program focuses on coverage for low-income children, pregnant women, families, the elderly, blind and the permanently disabled. The federal government establishes guidelines that requires the state to cover specific categories of people and types of benefits. It is, however, the legislature’s responsibility to determine which services are to be covered, the qualifying standards and the categories of people who will be eligible for benefits under the Medicaid program. Within these guidelines and constraints, the Department of Health Services has considerable flexibility in establishing financial eligibility criteria, benefit packages and payment policies.
Welcome to Arizona Health Care Cost Containment System (AHCCCS). Arizona Health Care Cost Containment System (AHCCCS) is Arizona’s Medicaid agency that offers health care programs to serve Arizona residents. Individuals must meet certain income and other requirements to obtain services.
Medicaid is a program that helps pay for medically necessary medical services for needy and low-income persons. It uses state and federal government money. The Department of Human Services (DHS) runs the Medicaid program in Arkansas. Medicaid and Medicare are different programs. Medicare is federal health insurance. It pays for medical services for aged and disabled persons.
What is Medi-Cal? Medi-Cal is California’s Medicaid health care program. This program pays for a variety of medical services for children and adults with limited income and resources. Medi-Cal is supported by federal and state taxes.
Colorado Medicaid is public health insurance for families, children, pregnant women, persons who are blind or persons with disabilities and the elderly for Colorado residents.
The Medicaid program provides for remedial, preventive, and long term medical care for income eligible aged, blind or disabled individuals, and families with children. Payment is made directly to health care providers, by the department, for services delivered to eligible individuals. The program complies with federal Medicaid law (Title XIX of the Social Security Act) and regulations in order to receive 50% reimbursement from the federal government.
Medicaid furnishes medical assistance to eligible low-income families and to eligible aged, blind and/or disabled people whose income is insufficient to meet the cost of necessary medical services. Medicaid pays for: doctor visits, hospital care, labs, prescription drugs, transportation, routine shots for children, mental health and substance abuse services.
Medicaid provides Medical coverage to low income individuals and families. The state and federal government share the costs of the Medicaid program. Medicaid services in Florida are administered by the Agency for Health Care Administration.
As the largest division in Community Health, Medicaid Division administers the Medicaid program, which provides health care for children, pregnant women, and people who are aging, blind and disabled.
Medicare is our Nation’s basic health insurance program for people 65 and older, regardless of their income, who qualify for Social Security benefits, and for some people under 65 who are disabled.
Medicaid has different programs available that provide health coverage for: Children under age 19; Parents or other related adults with children under age 19; Pregnant women; Women diagnosed with breast or cervical cancer or pre-cancer; People aged 65 or older; People who are blind or disabled (using Social Security criteria).
Welcome to the Web site for Healthcare and Family Services, the state agency dedicated to improving the lives of Illinois families through healthcare coverage and child support services. Our mission is to empower Illinois residents to lead healthier and more independent lives by providing adequate access to healthcare coverage at a reasonable cost, and by establishing and enforcing child support obligations. We are proud to make a positive difference in the lives of Illinoisans.
Welcome to Indiana Medicaid. On this site, you can learn about the different Medicaid programs and how to apply. Check out our Eligibility Guide to learn about eligibility for certain programs and see if you may qualify. Current Members can learn about your rights and responsibilities and how to access services. Check out the Member Rights and Responsibilities for critical member information.
Iowa Medicaid Enterprise (IME) is the division of the Iowa Department of Human Services that administers the Medicaid program. This website will inform you about the IME, Provider resources and Member resources.
The Department of Health Care Finance (DHCF) is responsible for purchasing health services for children, pregnant women, people with disabilities, the aged, and the elderly through the Medicaid program, the Children’s Health Insurance Program (CHIP), and the state-funded MediKan program.
Kentucky Medicaid Member Information Page: This is the Kentucky Medicaid Member Information page. Listed below are some frequently asked questions and information regarding member services.
Medicaid is the state’s health coverage program for low-income residents who meet certain eligibility qualifications.
Office of MaineCare Services. The Office of MaineCare Services (OMS) oversees: MaineCare (also known as Medicaid); Maine RX Plus; Drugs for the Elderly and Disabled. MaineCare Services coordinates the programs and benefits, assures that they operate under consistent policy in keeping with the Department’s goals and Federal mandates, and ensures that they are administered effectively and efficiently.
Welcome to Maryland Medical Programs, the State of Maryland’s health information resource. Brought to you be the Department of Health and Mental Hygiene (DHMH).
What is MassHealth? MassHealth is a public health insurance program for eligible low and medium-income residents of Massachusetts. MassHealth is the name used in Massachusetts for Medicaid and the Children’s Health Insurance Program (CHIP), combined in one program.
The Plan covers Michigan’s agreement with the federal government for: beneficiary eligibility; covered services; and, reimbursement for medical services under the program.
Medical Assistance (MA) is the largest of Minnesota’s publicly funded health care programs. It provided coverage for a monthly average of 733,000 low-income people in state fiscal year 2012. Three-fourths of those were children and families, pregnant women and adults without children. The others were people 65 or older and people who have disabilities. Most enrollees get their health care through health plans. The rest get care on a fee-for-service basis, with providers billing the state directly for services provided. MA is Minnesota’s Medicaid program, funded with state and federal funds. The Minnesota Department of Human Services oversees the program statewide.
Medicaid is a national health care program. It helps pay for medical services for low-income people. For those eligible for full Medicaid services, Medicaid is paid to providers of health care. Providers are doctors, hospitals and pharmacists who accept Medicaid.
MO HealthNet coverage is automatically available to all recipients of MO HealthNet, Nursing Care, Home and Community-based Services, Supplemental Aid to the Blind, Blind Pension, and Adult Supplemental Payments. The purpose of the MO HealthNet program is to provide medical services to persons who meet certain eligibility requirements as determined by FSD. The goals of the MO HealthNet program are to promote good health, to prevent illness and premature death, to correct or limit disability, to treat illness, and to provide rehabilitation to persons with disabilities. Eligible persons receive a MO HealthNet Identification Card or a letter from the local FSD office.
Montana Medicaid is health care coverage for some low-income adults. Medicaid is run by DPHHS (the Montana Department of Public Health and Human Services).
Healthy Montana Kids Plus (HMK Plus) used to be called children’s Medicaid, before October 1, 2009. HMK Plus is health care coverage for low-income children in Montana and is also run by DPHHS. All medically necessary services are provided to children covered by HMK Plus.
Nebraska Medicaid covers many medically necessary services from health providers who participate in the Nebraska Medicaid program. Some preventive services, such as well child check-ups and childhood vaccines, are also covered.
The Division of Health Care Financing and Policy (DHCFP) works in partnership with the Centers for Medicare & Medicaid Services to assist in providing quality medical care for eligible individuals and families with low incomes and limited resources. The medical programs are known as Medicaid and Nevada Check Up.
NH Medicaid is a federal and state funded health care program that serves a wide range of needy individuals and families who meet certain eligibility requirements. The program works to ensure that eligible adults and children have access to needed health care services by enrolling and paying providers to deliver covered services to eligible recipients.
Medicaid provides health insurance to parents/caretakers and dependent children, pregnant women, and people who are aged, blind or disabled. These programs pay for hospital services, doctor visits, prescriptions, nursing home care and other healthcare needs, depending on what program a person is eligible for.
Medicaid is a partnership between each state and the federal government to provide low cost or no cost medical care to those who need it most. Eligibility for all Medicaid programs is based on citizenship, residency, income and other factors (such as resource levels, medical factors and sometimes, an individual’s current health insurance coverage status). Income eligibility for all Medicaid programs is based on a percentage of the Federal Poverty Level (FPL).
Medicaid is a program for New Yorkers who can’t afford to pay for medical care.
Medicaid is a health insurance program for low-income individuals and families who cannot afford health care costs. Medicaid serves low-income parents, children, seniors, and people with disabilities. Medicaid is a little different, depending on who you are and your situation.
Medicaid was authorized in 1966 for the purpose of providing an effective base upon which to provide comprehensive and uniform medical services that enable persons previously limited by their circumstances to receive needed medical care. It is within this broad concept that the Medicaid Program in North Dakota participates with the medical community in attempting to strengthen existing medical services in the state.
Funding is shared by federal and state governments, with eligibility determined at the county level.
Medicaid pays for health services for qualifying families with children, and people who are pregnant, elderly, or disabled. Over 60,000 people in North Dakota are receiving this important health coverage.
SoonerCare, Oklahoma’s Medicaid program, provides health care to children under the age of 19, adults with children under the age of 18, pregnant women and people who are older than 65 or have blindness or another disability.
Medicaid provides health care insurance for low-income residents through a federal and state partnership. Federal regulations provide a framework for each state to build a unique Medicaid program or State Medicaid Plan.
Medical Assistance, also known as Medicaid, and sometimes referred to as MA, pays for health care services for eligible individuals
The Rhode Island Medical Assistance Program, also known as “Medicaid” is a federal- and state-funded program that pays for medical and health related services for eligible Rhode Islanders.
Medicaid is South Carolina’s aid program by which the federal and state governments share the cost of providing medical care for needy persons who have low income.
The Department of Social Services Division of Economic Assistance is responsible for administering the Medicaid and Children’s Health Insurance (CHIP) Programs to help low income individuals, families and children.
The Medicaid program provides medical benefits to eligible individuals who may have no medical insurance or inadequate medical insurance. Medicaid became law in 1965 as a jointly funded cooperative between the federal and state governments to assist states in providing adequate medical care to eligible individuals. Although the Federal government establishes general guidelines for the program, the Medicaid program requirements are established by each State. Whether or not a person is eligible for Medicaid will depend on the State where he or she lives.
In 1994 the State of Tennessee implemented a new health care reform plan called TennCare. TennCare extended coverage to the Medicaid population and coverage to individuals who were determined to be uninsured or uninsurable, using a system of Managed Care Organizations (MCO). Since April 29, 2005, enrollment to the TennCare uninsured/uninsurable program was closed to new applicants. Children under age 19 who were already enrolled in the TennCare program and who have maintained eligibility and children under age 19 who lose Medicaid eligibility may receive coverage through the TennCare uninsured/uninsurable program.
The State Plan is the officially recognized document describing the nature and scope of the State of Texas Medicaid program. As required under Section 1902 of the Social Security Act, the plan was developed by our state and approved by the U.S. Department of Health and Human Services. Essentially, the plan is our state’s agreement that it will conform to the requirements of the Social Security Act and the official issuances of the U.S. Department of Health and Human Services.
The Utah Medicaid program pays medical bills for people who qualify for a category of Medicaid; who have low income or cannot afford the cost of health care; who have resources (assets) under the federal limit for the category of Medicaid.
Medicaid in Vermont
Medicaid provides low-cost or free coverage for low-income children, young adults under age 21, parents, pregnant women, caretaker relatives, people who are blind or disabled and those age 65 or older.
Welcome to the Department of Medical Assistance Services (DMAS) homepage. DMAS is the agency that administers Medicaid and the State Children’s Health Insurance Program (CHIP) in Virginia. The CHIP program in Virginia is called Family Access to Medical Insurance Security (FAMIS). Our mission at DMAS is to provide a system of high quality and cost effective health care services to qualifying Virginians and their families.
Washington State has a number of programs dedicated to providing health care coverage for low income residents. The largest single source for this coverage is Medicaid, which offers complete major medical coverage. There are also other programs that offer more limited benefits. Services are available through managed care or fee-for-service.
Medicaid State Plan Under Title XIX of the Social Security Act Medical Assistance Program. The West Virginia Medicaid State Plan is a comprehensive written document that describes the nature and scope of the Medicaid program. It outlines current Medicaid eligibility standards, policies, and reimbursement methodologies to ensure the state program receives matching federal funds under Title XIX of the Social Security Act. This State Plan outlines how the Medicaid program is implemented in West Virginia.
Wisconsin’s ForwardHealth Medicaid plans for Elderly, Blind or Disabled provide health care for those who are: Age 65 or older, blind or disabled, With family income at or below the monthly program limit, and Who are United States citizens or legal immigrants. The Medicaid plan you are enrolled in depends on your income, assets, and type of care you need.
Medicaid is a joint federal and state government program that pays for medical care for some low income and medically needy individuals and families.
Integrative Health and Medicine
The Institute for Integrative Health: https://tiih.org/whats-integrative-health
The Bravewell Collaborative: http://www.bravewell.org/integrative_medicine/
Cochrane Complementary Medicine (systematic reviews of evidence): http://cam.cochrane.org/
Academic Consortium for Integrative Medicine and Health, Member listing: http://www.imconsortium.org/members/members.cfm
The University of Arizona Center for Integrative Medicine: https://integrativemedicine.arizona.edu/index.html
True Health Initiative: http://www.truehealthinitiative.org/
Blue Zones: https://bluezones.com/
Western Medicine (General Medical Information)
Medline Plus: https://medlineplus.gov/
National Library of Medicine PubMed database: https://www.ncbi.nlm.nih.gov/pubmed/
PubMed Interactive tutorial: https://www.nlm.nih.gov/bsd/viewlet/search/subject/index.html
Physician locator: https://apps.ama-assn.org/doctorfinder/home.jsp
Disease-specific Organizations and Resources
Auto-immune Disease, American Autoimmune Related Diseases: https://www.aarda.org/
Cancer, American Cancer Society: https://www.cancer.org/
Cancer, Society for Integrative Oncology: https://integrativeonc.org/
Chron’s and Colitis Disease, Chron’s and Colitis Foundation: http://www.crohnscolitisfoundation.org/
Diabetes, American Diabetes Association http://www.diabetes.org/?loc=logo
Endocrine-related Disease, American Thyroid Association: https://www.thyroid.org/
Endocrine-related Disease, Pituitary Network Association: https://pituitary.org/
Epilepsy, Epilepsy Foundation: https://www.epilepsy.com/
Heart Disease, American Heart Association: http://www.heart.org/HEARTORG/
HIV/AIDS, The Body: http://www.thebody.com/
Lung Cancer, Caring Ambassadors Program: http://lungcancercap.org/
Lung Disease: http://www.lung.org/
Lupus, Lupus Foundation of America: https://www.lupus.org/
Lyme Disease: https://www.lymedisease.org/
Multiple Sclerosis, National Multiple Sclerosis Society: https://www.nationalmssociety.org/
Pain (list of organizations): http://www.forgrace.org/resources/pain-organizations/
Parkinson’s Disease, Parkinson’s Foundation: http://parkinson.org/
Sickle Cell, Sickle Cell Society: http://www.sicklecellsociety.org/
Substance Abuse and Mental Health, SAMHSA: https://www.samhsa.gov/
Clinical Trials.Gov National Library of Medicine/NIH
NIH Clinical Research Trials and You National Institutes of Health
Questions to Ask When Deciding Whether to Volunteer for Research US Department of Health and Human Services
Undiagnosed Diseases Network research study National Institutes of Health Common Fund
Clinical Trials Information for Patients and Caregivers National Cancer Institute
Clinical Studies National Eye Institute
Clinical Trials National Heart, Lung, and Blood Institute
Current NHGRI Clinical Studies National Human Genome Research Institute/NIH
Clinical Trials National Institute on Aging
Find a Clinical Trial National Institute of Allergy and Infectious Diseases
Current NIAMS Protocols at the NIH Campus National Institute of Arthritis and Musculoskeletal and Skin Diseases
Clinical Studies: Information for the Public and Potential Volunteers National Institute of Deafness and Other Communication Disorders
Special Diabetes Program: Clinical Trials Recruiting Patients & Families National Institute of Diabetes and Digestive and Kidney Disorders
Clinical Trials Information National Institute on Drug Abuse
Clinical Trials National Institute of Neurological Disorders and Stroke
Clinical Trials – Information for Participants National Institute of Mental Health
Research Match National Center for Advancing Translational Sciences
Clinical Trials National Center for Complementary and Integrative Health
Stress and health overview: https://medlineplus.gov/ency/article/003211.htm
Integrative approaches to stress and anxiety: https://nccih.nih.gov/health/stress
Find a therapist: https://www.goodtherapy.org/find-therapist.html
TIP: Most disease-specific organizations offer online and in-person support groups and services.
Community forum and information sharing platform for individuals with chronic disease: https://www.patientslikeme.com/
Social networks for individuals with chronic disease: https://www.myhealthteams.com/
Platform for building support website for an individual health journey: https://www.caringbridge.org/
Online meal organizer and calendar: https://www.mealtrain.com/
University of Wisconsin-Madison, Center for Healthy Minds: https://centerhealthyminds.org
National Institute of Mental Health https://www.nimh.nih.gov/index.shtml
National Sleep Foundation: https://sleep.org/
Well-being concepts and practices, Taking Charge of your Health and Well-being: https://www.takingcharge.csh.umn.edu/
Project Happiness: https://www.projecthappiness.org/
Book recommendation, The Art of Happiness: https://www.amazon.com/Art-Happiness-10th-Anniversary-Handbook/dp/1594488894
Complementary Medicine Systems and Therapies
Cochrane Complementary Medicine Systematic Review database: http://cam.cochrane.org/
University of Minnesota Center for Spirituality& Healing, Taking Chare of Your Health and Wellbeing website: https://www.takingcharge.csh.umn.edu/
National Center for Integrative Primary Healthcare, patient resources: https://nciph.org/public.html
National Cancer Institute, Office of Cancer Complementary and Alternative Medicine: https://cam.cancer.gov/
Society for Integrative Oncology: https://integrativeonc.org/
Natural Medicines Comprehensive Database: http://naturaldatabase.therapeuticresearch.com/home.aspx?cs=&s=ND
Complementary Medicine Systems:
National Ayurvedic Medical Association: http://www.ayurvedanama.org/
American Association of Acupuncture and Oriental Medicine: https://www.aaaomonline.org/
American Institute of Homeopathy (membership institute for medical professionals also practicing homeopathy): https://www.homeopathyusa.org/
The American Association of Naturopathic Physicians: http://www.naturopathic.org/
American Chiropractic Association: https://www.acatoday.org/Patients
Diet, Nutrition, and Healthy Weight
Center for Science in the Public Interest, Eating Healthy: https://cspinet.org/eating-healthy
True Health Initiative, Research on diet and health: http://www.truehealthinitiative.org/research/
CDC Healthy Weight website: https://www.cdc.gov/healthyweight/physical_activity/index.html
American Dietetic Association: http://www.eatright.org/
Dietary Supplements, US Food and Drug Administration: https://www.fda.gov/Food/DietarySupplements/
Foods that fight inflammation: https://www.health.harvard.edu/staying-healthy/foods-that-fight-inflammation
DASH Diet Eating Plan
National Heart, Blood, and Lung Institute
Environmental Working Group, Dirty Dozen foods list https://www.ewg.org/foodnews/dirty_dozen_list.php#.WjLnqkqnGUk
Natural Medicines Comprehensive Database: http://naturaldatabase.therapeuticresearch.com/home.aspx?cs=&s=ND
USDA Food Composition Database: https://ndb.nal.usda.gov/ndb/
President’s Council on Fitness, Sport & Nutrition: https://www.hhs.gov/fitness/index.html
The National Center on Physical Activity and Disability: https://www.nchpad.org/
Find your local YMCA: http://www.ymca.net/find-your-y/
Consumer Government Resources
Phone: 800-514-0301 (voice) or 800-514-0383 (TDD)
Centers for Disease Control and Prevention
Internet address: www.cdc.gov
Department of Justice
Internet address: www.usdoj.gov
Equal Employment Opportunity Commission
Phone: 800-669-4000 (voice) or 800-669-6820 (TDD)
To request documents:
Phone: 800-669-3362 (voice) or 800-800-3302 (TDD)
Food and Drug Administration (FDA)
Office of Special Health Issues
Parklawn Building, HF-12
5600 Fishers Lane
Internet address: www.fda.gov
Contact the FDA to report side effects or other problems with drug treatment.
Food and Drug Administration (FDA), Single Patient Investigational New Drug Program
Patients who are not eligible for a clinical trial and who are in an immediate medical crisis may be able to receive drugs that are not yet FDA-approved. Your doctor would have to apply to the FDA for permission to use the drug, an approval known as a Single Patient IND for Compassionate or Emergency Use. Contact information appears below. The FDA usually responds to an application within 24 to 48 hours.
Medicare Equipment and Supplies Program
Medicare contract suppliers or by calling 1-800-MEDICARE (1-800-633-4227).
National Council Against Health Fraud
Social Security Disability Line
U.S. Department of Health and Human Services
Internet address: www.healthfinder.com