16 Del. Admin. Code § 13000-13300

Current through Register Vol. 28, No. 7, January 1, 2025
Section 13000-13300 - Difference Between Medicare And Medicaid

There are significant differences between Medicaid and Medicare. Both programs were created by the Social Security Act in 1965. Medicaid (Title XIX) is funded by both the Federal government and State that administers the program. Because of options for coverage, the Medicaid program varies widely from State to State. Medicare (Title XVIII) is a Federally funded and administered health insurance program which has uniform rules, regulations, and benefits in every state.

Differences Medicaid Medicare
Administration State Federal
Funding 50 % State/50% Federal with exceptions for a higher Federal match for certain services & staff and a higher match for poorer States 100% Federal
Eligibility Limited Income & Resources Age, Disability and Work History
Coverage Broad range of Services Part A= inpatient hospital, home health, hospice and post-hospital skilled nursing facility care. Part B= physicians, labs, clinics, physical therapists, extended home health & limited out-patient hospital services.

16 Del. Admin. Code § 13000-13300