Restructure Medicare & Medicaid: Examples of Medicaid’s Mandatory Beneficiaries & Services Examples of Mandatory Beneficiaries Examples of Mandatory Services e Children under age 6 with family annual e Physician services Ineo below pee ery e Laboratory & x-ray services e Children age 6 or older with family . . . ; e Inpatient hospital services annual income below $15,670 . . e Outpatient hospital services e Pregnant women with annual income below $12,382 e Rural health clinic services e Elderly and disabled with annual e Certified pediatric and family nurse income between below $6,768 (for an practitioner services individual) e Early & periodic screening, diagnostic, and treatment (EPSDT) services for individuals under 21 KP Note: Supplementary Security Income and Federal Poverty Levels are 2005 levels. Source: Kaiser Family Foundation, 2005. i USA Inc. | What Might a Turnaround Expert Consider? 321 Restructure Medicare & Medicaid: Examples of Medicaid’s Optional Beneficiaries & Services Examples of Optional Beneficiaries Examples of Optional Services e Disabled and elderly with annual e Prescription drugs income between $7,082 ; ; e Dental services (Supplementary Security Income, or SSI) and $9,310 (Federal Poverty e Rehabilitation and other therapies Level, or FPL) e Prosthetic devices, eyeglasses, e Nursing home residents with annual durable medical equipment income between $7,082 (SSI) and e Hospice services $21,000 (3x SSI) e Inpatient psychiatric hospital e Pregnant women with annual income services for individuals under age 21 above $12,382 (>133% of FPL) e Other specialist medical or remedial e Children under 6 with annual family eave income above $20,841 KP Note: Supplementary Security Income and Federal Poverty Levels are 2005 levels. Source: Kaiser Family Foundation, 2005. Ce USA Inc. | What Might a Turnaround Expert Consider? 322 HOUSE_OVERSIGHT_021002