Medicaid is health care assistance that helps people with low incomes
and limited resources to obtain medical care for some or all of their
bills. Medicaid also helps to pay for nursing home care. Medicaid
programs differ from state to state. In the U.S. Virgin Islands,
Medicaid is called the Medical Assistance Program (MAP). The Department
of Health's Bureau of Health Insurance and Medical Assistance is the
division responsible for administering Medicaid in the Virgin Islands.
Eligibility for MAP is determined by the Certification Units
and is based on family income, resources, and other factors. Examples are
documents needed for eligibility determination are:
of U.S. Citizenship and age and
Other documents may be required as well.
Individuals who receive cash assistance from the Department
of Human Services and are classified as "Categorically Needy" are
automatically eligible for Medicaid. Assistance (Spend-Down Program) is
also available to persons whose incomes and resources are above or in excess
of the allowable income level. The excess income is expected to be expended
(spent down) before assistance is provided by MAP.
In addition, persons with Medicare who meet the eligibility
requirements of MAP can receive assistance from MAP with paying their
Medicare Part A deductible, Medicare Part B premium, and the share of
allowable costs not covered by Medicare. Persons with both Medicare and
Medicaid are called "Dual Eligibles" (DEs).
Starting January 1, 2006, Medicare will begin covering
prescription drugs for DEs.
MAP will still
cover other care that Medicare doesn't cover. MAP will be using Medicare and
local funds to assist DEs with paying their premium, deductible, and co-pays
for the Medicare prescription drug plan they are enrolled in. In order to
get this help, DEs must enroll in a Medicare Prescription Drug Plan by
December 31, 2005. For DEs who fail to enroll in a plan by this date, MAP
will automatically assign them to a plan. (For
more information on how DEs prescription coverage will be affected starting
January 1, 2006, click on the link below the subject heading Medicare
Prescription Drug Coverage).
information, contact the MAP Certification units at (340) 444-3325 in St.
Thomas and (340) 773-1311, ext. 3095 in St. Croix.