Medical Assistance Introduction

Medical Assistance is a program that pays the medical bills (and in some cases the cost of institutional care) of people who have low income and cannot afford medical care. It is a means-tested program, available only to certain low-income individuals and families who fit into an eligibility group that is recognized by federal and state law.

The Medical Assistance program provides eligibility determination for households based on financial and non-financial factors. The information required to determine program eligibility is captured as evidence. This evidence is assessed against a set of business rules to determine whether or not the household is eligible for Medical Assistance.