Phone: (626) 229-1000 As always, states amend their Medicaid and CHIP state plans in order to inform CMS of programmatic and financing changes and to secure legal authority for those changes. Currently, Guam has no online Medicaid/CHIP application. The agencies listed below can help you take advantage of some of these new … Join us on Facebook. A federal government managed website by theCenters for Medicare & Medicaid Services.7500 Security Boulevard Baltimore, MD 21244, Medicaid Beneficiaries with Complex Care Needs and High Costs, Community Integration Through Long-Term Services and Supports, Using Section 1115 Demonstrations for Disaster Response, Home & Community-Based Services in Public Health Emergencies, Medicaid and CHIP Eligibility & Enrollment Webinars, Affordable Care Act Program Integrity Provisions, Lawfully Residing Immigrant Children & Pregnant Women, Home & Community Based Services Authorities, June 2020 Medicaid & CHIP Enrollment Data Highlights, Medicaid Enrollment Data Collected Through MBES, Performance Indicator Technical Assistance, 1115 Demonstration Monitoring & Evaluation, 1115 Substance Use Disorder Demonstrations, Coronavirus Disease 2019 (COVID-19): Section 1115 Demonstrations, Seniors & Medicare and Medicaid Enrollees, Medicaid Third Party Liability & Coordination of Benefits, Medicaid Eligibility Quality Control Program, State Expenditure Reporting for Medicaid & CHIP, Actuarial Report on the Financial Outlook for Medicaid, Section 223 Demonstration Program to Improve Community Mental Health Services, Medicaid Information Technology Architecture, Medicaid Enterprise Certification Toolkit, Medicaid Eligibility & Enrollment Toolkit, SUPPORT Act Provider Capacity Demonstration, Early and Periodic Screening, Diagnostic, and Treatment, Vision and Hearing Screening Services for Children and Adolescents, Alternatives to Psychiatric Residential Treatment Facilities Demonstration, Medicaid MAGI & CHIP Application Processing Time. If you are a veteran and have a question or concern about veterans’ health care benefits, go to: US Department of Veterans Affairshttp://www1.va.gov/health/(877) 222-VETS (8387). More information about waivers is available on the Waivers page. An official website of the United States government. Guam’s Medicaid program does not administer a Medicare Part D Plan; the Medicaid program receives an additional grant through the Enhanced Allotment Plan (EAP) which must be utilized solely for the distribution of Part D medications to dual-eligibles. Supplemental Nutrition Assistance Program (SNAP) ... may disqualify you from both SNAP and cash assistance programs. Try our site search below: Your local SHIP will provide you in depth, one-on-one insurance counseling and assistance with Medicare. Guam’s participation in the federal Consumer Assistance Program grant was completed in October 2012, but Guam continues to provide assistance to consumers with health insurance questions or problems. At this time, Guam is 100% fee-for-service (FFS) and does not offer managed care services to its beneficiaries. Programs for people in U.S. territories. All Rights Reserved. Currently, Guam has no demonstrations or waivers. As of January 2015, 38,482 people are enrolled in the Medicaid and CHIP program in Guam. If you have a question, complaint, or dispute regarding insurance you get through a “self-insured” employer (typically a large company or one with locations in multiple states or countries), go to: U.S. Department of LaborEmployee Benefits Security Administration The state Medicaid and CHIP plans spell out how each state has chosen to design its program within the broad requirements for federal funding. Pasadena, CA 91106 TTY: 1(877) 486-2048. There are programs in U.S. territories to help people with limited income and resources pay their Medicare costs. The Children’s Health Insurance Program was established in 1997 to provide new coverage opportunities for children in families with incomes too high to qualify for Medicaid, but who cannot afford private coverage. States had the opportunity to design their CHIP programs (PDF 216.11 KB) as an expansion of Medicaid, as a stand-alone program or through a combined approach. Guam became a territory in 1950 and its Medicaid program was established in 1975. The Affordable Care Act included many new opportunities for states to augment and improve their Medicaid and CHIP programs. Demonstration and waivers are vehicles states can use to test new or existing ways to deliver and pay for health care services in Medicaid and CHIP. ... Drug Purchasing Assistance, including AIDS Drug Purchasing Assistance (ADAP) Programs: STD/HIV/Viral Hepatits Prevention Program. The Medicaid program in Guam differs from Medicaid programs operating in each of the 50 states and the District of Columbia. Some of the key differences are: Guam was awarded $24,436,001 million for its Medicaid program in lieu of establishing a health marketplace. States are increasingly moving to the use of managed care and other integrated care models in serving their Medicaid beneficiaries. It is a 100% fee-for-service delivery system with one hospital currently servicing the territory. Guam has elected to operate a title XXI funded Medicaid Expansion program. Don’t reinvent the wheel another HIV prevention professional already created. Phone: (671) 635-1817 If you have questions about your health insurance that are not covered by the above resources, call the Health Insurance Assistance Team of the U.S. Center for Consumer Information and Insurance Oversight at (888) 393-2789. Unlike the 50 states and the District of Columbia, where the federal government will match all Medicaid expenditures at the appropriate federal matching assistance percentage (FMAP) rate for that state, in Guam, the FMAP is applied until the Medicaid ceiling funds and the Affordable Care Act available funds are exhausted. As a result there has been a great deal of state plan amendment activity over the past several years in the areas of eligibility, benefits design and financing, as well as new approaches to providing health homes, long-term services and supports, and enrollment strategies like hospital presumptive eligibility. Medicaid and CHIP in Guam Guam became a U.S. territory in 1950 and created a Medicaid program in 1975. Medicaid/MIP Off-Island Referral Office The new consumer protections and benefits of the Affordable Care Act still apply to you. Want to improve your HIV program? There are no deductibles or co-payments under the Guam Medicaid program. 3840 W 9th St Guam must exhaust its Affordable Care Act (Section 2005) allotment prior to using these funds. Los Angeles Regional Office GMF, Guam 96921 Fax: (671) 633-2643. There are no deductibles or co-payments under the Guam Medicaid program. Through Section 1108 of the Social Security Act (SSA), each territory is provided base funding to serve their Medicaid populations. Bureau of Health Care Financing Administration info@shiptacenter.org Guam – The Division of Senior Citizens within the Department of Public Health and Social Services (DPH&SS) has announced that its’ Guam State Health Insurance Assistance Program (SHIP) has demonstrated achievement in providing locally accessible services to the island’s Medicare beneficiaries. Northeast Iowa Area Agency on Aging Fax: (671) 734-6860. Click the button below to find one in your area: Copyright © 2017 Theme. The primary types of waivers and demonstration projects include section 1115 demonstrations, section 1915(a) and 1915(b) managed care waivers, and section 1915(c) home and community-based services waivers. Fax: (671) 734-6860. Call or visit your Medicaid office to learn more. Phone: (671) 735-7224 If you need health insurance, be sure to check out HealthCare.gov’s Plan Finder. Room 238 Guam Medicare Assistance Program (GUAM MAP) Contact your local SHIP for in depth, one-on-one insurance counseling and assistance with Medicare. Street Address: States have choices in their approach to delivery system design under the Medicaid and CHIP programs. 1055 East Colorado Blvd, Suite 200 You'll need to meet certain income and resource limits. Phone: (671) 735-7224/7302 Find another SHIP using the button below: Contact your local SHIP for in depth, one-on-one insurance counseling and assistance with Medicare. Barrigada, Guam 96913Mailing Address: Qualify for extra help from Medicare to pay the costs of Medicare prescription drug coverage (Part D). Box 23607 See below for a state-specific list of approved Medicaid and CHIP SPAs. Fax: (626) 229-1098http://www.dol.gov/ebsa/consumer_info_health.html. If you are not eligible for Medicaid, your child may still be eligible for the Children’s Health Insurance Program.