What is the legal framework for health care programs for seniors?

The legal framework for health care programs for seniors in North Carolina is regulated and administered by the state and the federal government. At the federal level, the Medicare and Medicaid programs provide coverage for medical services for elderly individuals. Medicare is a federally funded health insurance program for people over the age of 65, as well as for certain individuals with disabilities. Medicaid is a joint federal and state program that provides health coverage to low-income individuals and families, and this includes elderly individuals. At the state level, North Carolina offers the NC Health Choice Program, which provides low-cost health insurance to children and certain adults who meet specific criteria. The North Carolina Division of Aging and Adult Services also administers the Senior Health Insurance Information Program (SHIIP). This program provides education and counseling to seniors about their Medicare coverage, and it assists with filing claims and appealing denials. In addition, the North Carolina Department of Health and Human Services administers several health care programs for seniors such as Community Alternatives Program-Individuals Services (CAP-IS), Community Alternatives Program-Family Support (CAP-FS), In-Home Aide Services, and Adult Day Health Care. The CAP-IS program provides supportive services to disabled adults who require assistance in order to remain in the community, while the CAP-FS program helps provide services to seniors in order to maintain their independence and remain in their home. Lastly, the In-Home Aide Services program provides in-home care, and the Adult Day Health Care program provides day care services to disabled adults.

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