Who pays when presumptive eligibility mistakes are made?
• Applicants may be asked to sign a form agreeing to reimburse the state for services provided if they are later found ineligible. • States may simply pay for services from the Medicaid appropriation without seeking federal reimbursement. • Several states use state general revenue only programs or Older Americans Act funds to pay for services if the applicant is found ineligible for Medicaid. • Some Area Agencies on Aging reported using funds raised from other sources to cover services when the applicant is ineligible. Posted July 2005 based from a Fact Sheet Expediting Medicaid Eligibility Determinations developed by Robert Mollica, National Academy for State Health Policy under Grant No. P-91512/2 from the U.S. Department of Health and Human Services, Centers for Medicare & Medicaid Services.
