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Medicaid

A joint federal and state program that helps cover medical costs for people with limited income and resources.

Title XIX of the Social Security Act

The specific part of federal law that established and governs the Medicaid program.

Continuous skilled nursing services

Ongoing, specialized nursing care provided in a person's home, often for many hours a day, for individuals with complex medical needs.

Full-benefit dual eligible individual

A person who qualifies for full benefits under both Medicare (federal health insurance for seniors and some disabled people) and Medicaid.

Secretary (of Health and Human Services)

The head of the U.S. Department of Health and Human Services, responsible for implementing health and welfare policies.

Home and community-based waiver services

Medicaid programs that allow states to offer a variety of services, like nursing care, in a person's home or community, rather than in an institution, for eligible individuals.

Notice and comment rulemaking

A process federal agencies follow to create or change regulations, which involves publishing proposed rules and allowing the public to submit feedback before a final rule is issued.