Medicaid, is a jointly-funded, state and federal program that provides health care insurance coverage for primarily lower-income individuals, children and those with significant disability/health costs. On the federal level, the Centers for Medicare and Medicaid (CMS), under the Health and Human Services agency, creates rules and standards that state programs must meet; however, states have considerable control over coverage details and eligibility for the program in their state. In all states, Medicaid covers low-income people, families and children based on a specific income threshold, as well as pregnant women, elderly, and people with disabilities. In some states, Medicaid has recently been expanded to cover all adults below a certain income level as part of the Affordable Care Act.
Medicaid eligibility, coverage, and services have grown considerably over the past few decades to provide greater access to care and help ensure that all Americans have access to basic health care services. Today, more than 70 million Americans rely on Medicaid and the related Children’s Health Insurance Program (CHIP) for their health care and medication needs – including a third of people living with epilepsy.
Learn more about the advocacy work of the Epilespy Foundation on the pages below.
Medicaid 1115 Demonstration Waivers
State Medicaid Formularies - Coverage for Epilepsy Medications