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Quality of Care 2004 - Dental Health Services Victoria
Quality of Care 2004 - Dental Health Services Victoria

... and children to locate us more easily, particularly in an emergency situation. It also provides parents with an opportunity to become more involved with their child’s dental health, improving their access to the dental care provider, to discuss their children’s dental treatment. This year saw the op ...
Improving care delivery to individuals with special or supportive care
Improving care delivery to individuals with special or supportive care

... Medicaid/Medicare-focused players, which currently provide coverage for almost one-third of all individuals enrolled in Medicaid managed care programs, have focused on programs for those with BH conditions or needing LTSS care (other than those with I/DDs). Blues plans, regional/local insurers, and ...
How the Invention of Modern Dialysis Shaped Health Law and Policy
How the Invention of Modern Dialysis Shaped Health Law and Policy

... RICHMOND JOURNAL OF LAW AND THE PUBLIC INTEREST [Vol. XIII:xxv ...
Out-of-Pocket Maximums Per Calendar Year including Pharmacy
Out-of-Pocket Maximums Per Calendar Year including Pharmacy

... active or reserve duty in the armed forces of any country or international authority. ...
Cleft Lip and Cleft Palate: Massachusetts Products
Cleft Lip and Cleft Palate: Massachusetts Products

... coordination with the Member’s physician(s) on a case-by-case basis considering the individual Member's health care needs. Medical Necessity Guidelines are developed for selected therapeutic or diagnostic services found to be safe and proven effective in a limited, defined population of patients or ...
service specification - Nationwide Service Framework Library
service specification - Nationwide Service Framework Library

... For non-accident cases, you will provide this equipment/orthotics for a period of up to six months. The six months responsibility for you commences from the day of discharge from an inpatient or day patient episode of care or, in the case of a person who is not admitted to your health facility but a ...
The Effectiveness of Disease Management Programs in the
The Effectiveness of Disease Management Programs in the

... In the midst of rising health care expenditures, increasingly limited health care budgets and economic uncertainty, the efficient use of government funds and other resources is of the utmost importance. In March 2010, the Patient Protection and Affordable Care Act (ACA) expanded Medicaid, to help re ...
NBER WORKING PAPER SERIES INTENSITY William N. Evans
NBER WORKING PAPER SERIES INTENSITY William N. Evans

... Recovery and Reinvestment Act of 2009 [commonly referred to as the stimulus bill] included $1.1 billion to establish the Federal Coordinating Council for Cost Effectiveness Research. President Barack Obama’s proposed 2010 budget intends to build on this effort with the belief that this research can ...
Opioid Addiction Treatment Programs, Corrected Version -
Opioid Addiction Treatment Programs, Corrected Version -

... treatment modalities in between. This system is supplemented by additional components including the monitoring of opioid prescriptions through the Vermont Prescription Monitoring System (VPMS), and, with the Department of Vermont Health Access and Blueprint for Health, the Care Alliance for Opioid T ...
Residential Sub-Acute Detoxification Guidelines
Residential Sub-Acute Detoxification Guidelines

... all assessed needs. The treatment/recovery plan should identify agencies in the individual’s home county that can provide services following discharge. If a sub-acute detoxification provider is unsure of available resources in an area they should contact the CMHSP Access Center. 5. A client may not ...
Dental Plan - JHU Benefits
Dental Plan - JHU Benefits

... ABP does not, however, commit you to the less costly treatment. If you and the dentist choose the more expensive treatment, you are responsible for the additional charges beyond those allowed for the ABP • If an emergency occurs more than 50 miles from home, you are covered up to $50 per visit to se ...
A Guide to Improving Children`s Oral Health Care
A Guide to Improving Children`s Oral Health Care

... services for children at specific ages, the table follows Medicaid Early & Periodic Screening, Diagnosis, and Treatment (EPSDT) requirements and American Academy of Pediatric Dentistry recommendations. It is a useful resource for community dentists, EHS/HS workers, families and caregivers. Highlight ...
HAY RIVER HEALTH AND SOCIAL SERVICES AUTHORITY
HAY RIVER HEALTH AND SOCIAL SERVICES AUTHORITY

... Templates have been developed for the system that captures the information needed from our territorial forms. Different data bases have also been created to assist collecting proper information. Goal: To maintain core programming as mandated in the NWT Community Health Nursing Program Standards and ...
Benefits of Stand-Alone Dental
Benefits of Stand-Alone Dental

... Stand-alone dental plans offer a wider range of benefits and services versus a medical plan that embeds dental. After changes from the Affordable Care Act (ACA) take place, medical plans will likely only include minimal preventive dental benefits for children under 19 years old to meet Essential Hea ...
Overregulation Threatens Market
Overregulation Threatens Market

... DSO structure has provided those who would otherwise be excluded from receiving care with a viable, reliable and cost-effective oral healthcare option.” As public policy, DSOs offer a market-based solution that has been shown to provide efficient, low-cost dental care. When dentists are able to dedi ...
Genetic Services Policy Project
Genetic Services Policy Project

... o The primary role of genetic services in SCD is in the identification of carriers and affected individuals, as well as counseling for reproductive decision-making. Genetic research plays an important role in understanding the disease and in the development of new therapies. o Population based scree ...
STATES’ ROLES IN SHAPING HIGH PERFORMANCE HEALTH SYSTEMS
STATES’ ROLES IN SHAPING HIGH PERFORMANCE HEALTH SYSTEMS

... consultant to state and federal health agencies and national organizations, and was the first executive director of the national Association of Maternal and Child Health Programs. She has written and spoken extensively on state health policy, particularly health and health care for women, children, ...
Dental Services - Minnesota Department of Health
Dental Services - Minnesota Department of Health

... Dakota County Public Health partners with Children’s Dental Services to provide dental care to children from low-income families. Children’s Dental staff provide dental care one day per month in county service centers in Apple Valley and West St. Paul. Services include: dental exams, teeth cleaning, ...
Out-of-Pocket Maximums Per Calendar Year including
Out-of-Pocket Maximums Per Calendar Year including

... of Coverage (EOC) documents You will receive after You enroll will provide more detailed information about this plan. This summary should be reviewed along with the Limitations and Exclusions. All Covered Services (except in emergencies) must be provided by or through Member’s Participating Primary ...
Age and the costs of dental care - Australian Institute of Health and
Age and the costs of dental care - Australian Institute of Health and

... Number of each type of service received Figure 6 shows the mean number of diagnostic, preventive, restorative and prosthodontic services received in each age group. The mean numbers of services received were highest for the diagnostic, restorative and preventive categories. In other service types (i ...
why visit the dentist? - Littleton Public Schools
why visit the dentist? - Littleton Public Schools

... This document is for educational purposes only. It is not a guarantee that the services described are covered under your employer’s specific dental plan or policy. It does not constitute medical advice and is not intended to be a substitute for proper dental care provided by a dentist. Cigna assumes ...
Medical University of South Carolina 2016 – 2017 Student Health
Medical University of South Carolina 2016 – 2017 Student Health

... Emergency Services treatment or care rendered by a non-PPO provider is mandated by the Patient Protection and Affordable Care Act to be provided at the same benefit and cost sharing level as services provided by PPO provider. To locate a PPO Provider please call 1-877-657-5030 or visit http://studen ...
2017 First Smile EarlyCare Copayment Schedule
2017 First Smile EarlyCare Copayment Schedule

... *For pediatric enrollees (18 years of age and under), all copayments for essential health benefits listed under Covered Services and Copayments apply to the member out-of-pocket maximum. Copayments for non-essential health benefits services, listed as Other Covered Services do not apply to the membe ...
Clemson University 2016 – 2017 Student Health Insurance Plan
Clemson University 2016 – 2017 Student Health Insurance Plan

... Emergency Services treatment or care rendered by a non-PPO provider is mandated by the Patient Protection and Affordable Care Act to be provided at the same benefit and cost sharing level as services provided by PPO provider. To locate a PPO Provider please call 1-877-657-5030 or visit http://studen ...
Section E Covered Services
Section E Covered Services

... • Semiprivate room (or a private room if medically necessary) • Meals, including special diets • Skilled nursing services • Physical therapy, occupational therapy, and speech therapy • Drugs administered to you as part of your plan of care • Blood - including storage and administration. Coverage of ...
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EPSDT

Early and Periodic Screening, Diagnostic and Treatment (EPSDT) is the child health component of Medicaid. Federal statutes and regulations state that children under age 21 who are enrolled in Medicaid are entitled to EPSDT benefits and that States must cover a broad array of preventive and treatment services. Unlike private insurance, EPSDT is designed to address problems early, ameliorate conditions, and intervene as early as possible. For the 25 million children enrolled in Medicaid and entitled to EPSDT in 2012, the program is a vital source of coverage and a means to improve the health and well-being of beneficiaries.While a small number of cases and anecdotes regarding high EPSDT costs have garnered public attention, spending per child is low compared with worker-age adults and seniors covered by Medicaid. This is true despite the breadth of coverage provided to children through EPSDT. Children account for approximately half of Medicaid beneficiaries but only roughly 20-25 percent of the costs of the program overall. With Medicaid and EPSDT, however, poor children's access to health care is similar to that of non-poor, privately insured children and child Medicaid beneficiaries use care in approximately the same pattern as their privately insured counterparts. On average, Medicaid costs per child are less than private insurance.
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