CHD4615 Head Start & Medicare vs. Medicaid

Medicare is health insurance for...

- People 65 or older - Certain people under 65 with disabilities - People of any age with End-Stage Renal Disease (ESRD) (permanent kidney failure requiring dialysis or a kidney transplant)

What percent of grantees operated Early Head Start (EHS) services only?

25%

What percent of grantees operated both Head Start and Early Head Start services?

42%

Define, "Refers to the actual number of children and pregnant women that Head Start programs serve throughout the entire program year"

Cumulative enrollment

True or False. Head Start served a diverse group of children, families, and pregnant women.

True

True or False Head Start is an effective program

True TEST QUESTION

You may be eligible for Medicaid if you have limited income and are...

- 65 or older - A child under 19 - Pregnant - Living with a disability - A parent or adult caring for a child - An adult without dependent children (in certain states) - An eligible immigrant

What does Medicare Part C (Medicare Advantage) include?

- All benefits and services covered under Part A and Part B - Usually includes Medicare prescription drug coverage (Part D) as part of the plan

When you enroll, you may be able to get health care benefits like...

- Doctor visits - Hospital stays - Long-term services and supports - Preventive care, including immunizations, mammograms, colonoscopies, and other needed care - Prenatal and maternity care - Mental health care - Necessary medications - Vision and dental care (for children)

The framework of Head Start is organized into what following elements?

- Domains - Sub-Domains - Goals - Developmental Progressions - Indicators

Medicare Part D (Medicare prescription drug coverage)...

- Helps cover the cost of prescription drugs - Run by Medicare-approved drug plans that follow rules set by Medicare - May help lower your prescription drug costs and help protect against higher costs in the future

Medicare Part A (Hospital Insurance) helps cover...

- Inpatient care in a hospital - Skilled nursing facility care - Hospice care - Home health care

Medicare Part B (Medical Insurance) helps cover...

- Services from doctors and other health care providers - Outpatient care - Home health care - Durable medical equipment (DME) - Many preventive services

Head Start programs cumulatively served _____________ children ages birth to 5 and pregnant women throughout the 2016-2017 program year

1,070,000

Whats the majority age in Head Start?

3-4 years old TEST QUESTION

What percent of grantees operate Head Start preschool services only?

33%

Where were most of the Head Start preschool services provided?

Center-based settings

Define, "Describes the skills, behaviors, and concepts that children will demonstrate as they progress towards a given goal within an age period. The term "emerging" issued for the youngest infant age group when specific skills, behaviors, or concepts have not yet emerged or are not yet observable."

Developmental Progressions

Define, "Are broad areas of early learning and development from birth to 5 years that are essential for school and long-term success"

Domains

Define, "When people qualify for both Medicare and Medicaid"

Dual eligibles

If you qualify for Medicaid in your state, you automatically qualify for what?

Extra Help paying your Medicare prescription drug coverage (Part D)

Define, "Refers to the number of children and pregnant women that are supported by federal Head Start funds in a program at any on time during the program year"

Funded enrollment

Define, "Are broad statements of expectations for children's learning and development. The goals describe broad skills, behavior's and concepts within a sub-domain that are important for success in school. These are sometimes referred to as standards in state early learning guidelines"

Goals

Define, "Promotes school readiness for children in low-income families by offering educational, nutritional, health, social, and other services."

Head Start

What was the program Head Start established?

In 1965

Who funds Head Start?

It is federally funded

Define, "A joint federal and state program that helps may medical costs if you have limited income and/or resources and meet other requirements"

Medicaid

Medicare Part C (Medicare Advantage) is ran by who?

Medicare-approved private insurance companies that follow rules set by Medicare

Original Medicare pays for much, but not all the cost for health care services and supplies. Medicare Supplement Insurance policies, sold by private companies, can help pay some of the remaining health care costs, like copayment, coinsurance, and deductibles. Medicare Supplement Insurance policies are also called _____________________.

Medigap policies

How many children has Head Start served?

More than 35 million- birth to age 5, and their families

Medicaid may get coverage for services that Medicare may not or may partially cover, like what?

Nursing home care, personal care, and home-and community-based services

You can get your Medicare coverage through _________________ or ________________.

Original Medicare or a Medicare Advantage Plan (like an HMO or PPO)

Original Medicare is a fee-for-service health plan that has two parts. What are they?

Part A: Hospital Insurance Part B: Medical Insurance

List all the parts of Medicare.

Part A: Hospital Insurance Part B: Medical Insurance Part C: Medicare Advantage Part D: Medicare prescription drug coverage

Who does Head Start serve?

Preschool children, infants, toddlers, and pregnant women

Each year, Head Start programs are required to submit _______________________________ on the services they have provided to children and families throughout the program year, including child, family, and staff dempgraphics and program characteristics

Program Information Reports (PIR)

Define, "Are categories or components of development within a domain. For example, for the Social and Emotional Development domain, sub-domains include relationships with adults, relationships with other children, emotional functioning, and sense of identity and belonging."

Sub-Domains

Who administers the Head Start program?

The Administration for Children and Families (ACF) within the Department of Health and Human Services (HHS)

Who authorizes the amount of federal spending for Head Start each year?

The Congress of the United States

True or False In many states, more parents and other adults can get coverage now. If you were turned down in the past, you can try again and may qualify

True

True or False Most people pay the standard monthly Part B premium

True

True or False. Each state has different rules about eligibility and applying for Medicaid

True

True or False. Head Start programs work with families to ensure they have the means to obtain health insurance, services for children with disabilities, adequate housing, job training, and more

True

True or False. Head Start programs work with families to help ensure children have access to needed services and resources.

True

True or False. If you have Medicare and full Medicaid coverage, most of your health care costs are likely covered

True

True or False. If you have Medicare and/or full Medicaid, Medicare covers your Part D prescription drugs. Medicaid may still cover some drugs and other care that Medicare doesn't cover.

True

True or False. Medicare Part C may include extra benefits and services that aren't covered by Original Medicare, sometimes for an extra cost.

True

True or False. You should apply for Medicaid if you or someone in your family needs health care. If you aren't sure whether you qualify, a qualified caseworker in your state can look at your situation.

True

True or False. You usually don't pay a monthly premium for Part A coverage if you or your spouse paid Medicare taxes while working for a certain amount of time.

True - This is sometimes called premium-free Part A.

Plans have a _______ limit on your out-of-pocket costs for medical services

Yearly

What happens if you aren't eligible for premium-free Part A?

You may be able to buy Part A

What is the difference between Medicare and Medicaid?

fMedicare is older people and income is not a factor. It's really a health insurance Medicaid is a significant factor, for low-income people.