Which statement is true regarding the categorically needy and medically needy in the Medicaid Program?

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The statement indicating that categorically needy and medically needy do not have the same meaning is accurate because these terms refer to distinct groups within the Medicaid program.

The categorically needy typically include individuals who automatically qualify for Medicaid benefits based on specific criteria such as being low-income families, children, pregnant women, the elderly, or people with disabilities. These individuals meet certain income thresholds and are often eligible for Medicaid due to their categorical status rather than their income level alone.

On the other hand, the medically needy refers to individuals who may not meet the income qualifications for Medicaid but can qualify after incurring significant medical expenses. This means that even if their income is above the Medicaid eligibility threshold, they can still receive Medicaid benefits if their medical costs are high enough to reduce their residual income to a qualifying level.

Understanding this distinction is crucial for navigating Medicaid eligibility and benefits, as it impacts how healthcare coverage is administered to vulnerable populations.

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