Categorical Eligibility
Medicaid eligibility limited to specific groups like children, the aged, or people with disabilities.
Definition
Medicaid eligibility limited to specific groups like children, the aged, or people with disabilities.
Why it matters
Categorical Eligibility is part of the Medicaid vocabulary used across home health operations, documentation, and revenue cycle. Understanding it helps clinicians, QA leads, and administrators stay aligned on care quality and compliance.
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