A CHCS
... and 2002 data from the Medicaid Analytic eXtract (MAX) files; both years of data were used to determine morbidity profiles, whereas service use and expenditures were analyzed for 2002 only. The results presented in this brief focus on adults with disabilities under age 65 who are not eligible for Me ...
... and 2002 data from the Medicaid Analytic eXtract (MAX) files; both years of data were used to determine morbidity profiles, whereas service use and expenditures were analyzed for 2002 only. The results presented in this brief focus on adults with disabilities under age 65 who are not eligible for Me ...
brief - Center for Health Care Strategies
... and 2002 data from the Medicaid Analytic eXtract (MAX) files; both years of data were used to determine morbidity profiles, whereas service use and expenditures were analyzed for 2002 only. The results presented in this brief focus on adults with disabilities under age 65 who are not eligible for Me ...
... and 2002 data from the Medicaid Analytic eXtract (MAX) files; both years of data were used to determine morbidity profiles, whereas service use and expenditures were analyzed for 2002 only. The results presented in this brief focus on adults with disabilities under age 65 who are not eligible for Me ...
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... implementation of health IT by dentists, it is cited as a disincentive for adoption. However, the goal of health IT is to ensure that patients receive the most appropriate care possible. Equipping providers with the most relevant health information can inform and encourage evidence-based decisions r ...
... implementation of health IT by dentists, it is cited as a disincentive for adoption. However, the goal of health IT is to ensure that patients receive the most appropriate care possible. Equipping providers with the most relevant health information can inform and encourage evidence-based decisions r ...
Glossary of Terms
... CMS – Centers for Medicare & Medicaid Services. Part of the federal Department of Health & Human Services. Administers the Medicare and Medicaid programs and the Children’s Health Insurance Program (known as KidsCare in Arizona). COBRA – A Federal law that may allow you to temporarily keep health co ...
... CMS – Centers for Medicare & Medicaid Services. Part of the federal Department of Health & Human Services. Administers the Medicare and Medicaid programs and the Children’s Health Insurance Program (known as KidsCare in Arizona). COBRA – A Federal law that may allow you to temporarily keep health co ...
state operated services - Minnesota Department of Human Services
... disabilities, and traumatic brain injuries. These services range from short-term acute care in hospital settings to long-term residential support services. SOS typically serves people who have difficulty being served by other providers, including people committed to the Commissioner of DHS. See Atta ...
... disabilities, and traumatic brain injuries. These services range from short-term acute care in hospital settings to long-term residential support services. SOS typically serves people who have difficulty being served by other providers, including people committed to the Commissioner of DHS. See Atta ...
6 Health Partners Plans Provider Manual KidzPartners Benefits Summary
... Key points to remember when prescribing DME items for KidzPartners members: All purchased DME items and outpatient services less than $500 per claim line DO NOT require prior authorization from KidzPartners. All DME rentals require prior authorization, regardless of reimbursement value. If any ...
... Key points to remember when prescribing DME items for KidzPartners members: All purchased DME items and outpatient services less than $500 per claim line DO NOT require prior authorization from KidzPartners. All DME rentals require prior authorization, regardless of reimbursement value. If any ...
Exclusions for CoreMed
... Charges for chemical peels, reconstructive or plastic surgery that does not alleviate a functional impairment and other charges that are primarily a cosmetic service, except for any medically necessary reconstructive surgery (even if cosmetic in nature) or as otherwise covered in #20 of the Outpa ...
... Charges for chemical peels, reconstructive or plastic surgery that does not alleviate a functional impairment and other charges that are primarily a cosmetic service, except for any medically necessary reconstructive surgery (even if cosmetic in nature) or as otherwise covered in #20 of the Outpa ...
Getting Medical Assistance for a Child with a Severe Disability or
... As you think about immigrant health care, it will be helpful to keep in mind the three major types of care that all individuals need to access: Primary or preventative care, emergency or specialty care, and long‐term or ongoing care. This manual will provide information about the different pieces of ...
... As you think about immigrant health care, it will be helpful to keep in mind the three major types of care that all individuals need to access: Primary or preventative care, emergency or specialty care, and long‐term or ongoing care. This manual will provide information about the different pieces of ...
Okeechobee Correctional Institution November 2014 Survey
... Okeechobee Correctional Institution (OKECI) houses male inmates of minimum, medium, and close management custody levels. The facility grades are medical (M) grades 1, 2, 3, 4, and 5 psychology (S) grades 1 and 2. OKECI consists of a Main Unit only. The overall scope of services provided at OKECI inc ...
... Okeechobee Correctional Institution (OKECI) houses male inmates of minimum, medium, and close management custody levels. The facility grades are medical (M) grades 1, 2, 3, 4, and 5 psychology (S) grades 1 and 2. OKECI consists of a Main Unit only. The overall scope of services provided at OKECI inc ...
2016 Medical plan benefit summary
... -- Charges above the maximum plan allowance -- Cosmetic services and supplies (exception for reconstructive surgery after a mastectomy and some medically necessary complications of reconstructive surgeries) ...
... -- Charges above the maximum plan allowance -- Cosmetic services and supplies (exception for reconstructive surgery after a mastectomy and some medically necessary complications of reconstructive surgeries) ...
BluePreferred Dental Benefit Summary Plan 6A: 50/1500
... LEAT and the more costly treatment (“LEAT remainder”). Any payment you make for this LEAT remainder will not count toward deductible. There may be several methods for treating a specific dental condition. All claims for restorative services such as fillings and crowns are subject to analysis for the ...
... LEAT and the more costly treatment (“LEAT remainder”). Any payment you make for this LEAT remainder will not count toward deductible. There may be several methods for treating a specific dental condition. All claims for restorative services such as fillings and crowns are subject to analysis for the ...
Guideline on Management of Dental Patients with Special Health
... should be established.11,12 Optimal health of children is more likely to be achieved with access to comprehensive health care benefits.13 Financing and reimbursement have been cited as common barriers for medically necessary oral health care.14,15 Insurance plays an important role for families with ...
... should be established.11,12 Optimal health of children is more likely to be achieved with access to comprehensive health care benefits.13 Financing and reimbursement have been cited as common barriers for medically necessary oral health care.14,15 Insurance plays an important role for families with ...
Regence Dental Plan Highlights
... not limited to, dentures and retainer), whether lost, stolen or broken. Riot, Rebellion and Illegal Acts: Services and Supplies for treatment of an illness, injury or condition cause by a member's voluntary participation in a riot, armed invasion, aggression, insurrection or rebellion or sustained b ...
... not limited to, dentures and retainer), whether lost, stolen or broken. Riot, Rebellion and Illegal Acts: Services and Supplies for treatment of an illness, injury or condition cause by a member's voluntary participation in a riot, armed invasion, aggression, insurrection or rebellion or sustained b ...
OPTIMUM CHOICE, Inc. Preferred Plan 1IT
... You also may choose to seek care outside the Network, without a referral. There are two levels of Non-Network Benefit. Preferred Non-Network Benefits apply when you receive care from a Network provider without a referral from your PCP. Non-Preferred Non-Network Benefits apply when you receive care f ...
... You also may choose to seek care outside the Network, without a referral. There are two levels of Non-Network Benefit. Preferred Non-Network Benefits apply when you receive care from a Network provider without a referral from your PCP. Non-Preferred Non-Network Benefits apply when you receive care f ...
OPTIMUM CHOICE, Inc. Preferred Plan 1IR
... You also may choose to seek care outside the Network, without a referral. There are two levels of Non-Network Benefit. Preferred Non-Network Benefits apply when you receive care from a Network provider without a referral from your PCP. Non-Preferred Non-Network Benefits apply when you receive care f ...
... You also may choose to seek care outside the Network, without a referral. There are two levels of Non-Network Benefit. Preferred Non-Network Benefits apply when you receive care from a Network provider without a referral from your PCP. Non-Preferred Non-Network Benefits apply when you receive care f ...
IOSR Journal of Dental and Medical Sciences (IOSR-JDMS)
... workers, inner city and rural poor, the homeless, the uninsured and underinsured. Among these patients many of them are also chronically ill and require coordinated disease management. In addition to those disadvantaged by income, the underserved also includes those whose physical health, age, behav ...
... workers, inner city and rural poor, the homeless, the uninsured and underinsured. Among these patients many of them are also chronically ill and require coordinated disease management. In addition to those disadvantaged by income, the underserved also includes those whose physical health, age, behav ...
Introduction to Medicaid Care Management Best Practices
... Focusing on high-need, high-cost populations takes on even more importance with the Affordable Care Act expanding Medicaid coverage to roughly 25 percent of all Americans in 2014. This comes at a time when Medicaid agencies are facing strapped, over-extended budgets, and legislatures are looking to ...
... Focusing on high-need, high-cost populations takes on even more importance with the Affordable Care Act expanding Medicaid coverage to roughly 25 percent of all Americans in 2014. This comes at a time when Medicaid agencies are facing strapped, over-extended budgets, and legislatures are looking to ...
COVERED SERVICES Section 12 - at www.OhanaHealthPlan.com
... Human Services Med-QUEST Division to provide coverage for QUEST Expanded Access (QExA). QExA is a mandatory managed care program that provides a comprehensive benefit package of medical, dental, longterm care and behavioral health benefits to aged, blind or disabled individuals that meet income and ...
... Human Services Med-QUEST Division to provide coverage for QUEST Expanded Access (QExA). QExA is a mandatory managed care program that provides a comprehensive benefit package of medical, dental, longterm care and behavioral health benefits to aged, blind or disabled individuals that meet income and ...
Youth with Disabilities Transitioning from High School
... Affordable Care Act • New health plans will be available in 2014 through NY State of Health, an organized Marketplace or Exchange, designed to help people shop for and enroll in health insurance coverage. – Individuals, families, and small businesses can use the Marketplace to help them compare com ...
... Affordable Care Act • New health plans will be available in 2014 through NY State of Health, an organized Marketplace or Exchange, designed to help people shop for and enroll in health insurance coverage. – Individuals, families, and small businesses can use the Marketplace to help them compare com ...
cdphp delta dental plan - Colonie Chamber of Commerce
... dependent children to the end of the month that dependent turns 26 ...
... dependent children to the end of the month that dependent turns 26 ...
Alternatives to Inpatient Psychiatric Services for Medicare
... Although Massachusetts’ One Care demonstration is unique in that it only includes individuals under age 65 at enrollment, all other Medicare-Medicaid Financial Alignment Initiative demonstrations (except for South Carolina) include the under-65 population as well as those 65 and older, as do most st ...
... Although Massachusetts’ One Care demonstration is unique in that it only includes individuals under age 65 at enrollment, all other Medicare-Medicaid Financial Alignment Initiative demonstrations (except for South Carolina) include the under-65 population as well as those 65 and older, as do most st ...
Preventive Services Covered by Private Health Plans under the
... Health plans must also provide coverage without cost-sharing for immunizations that are recommended and determined to be for routine use by the Advisory Committee on Immunization Practices (ACIP), a federal committee comprised of immunization experts that is convened by the Centers for Disease Contr ...
... Health plans must also provide coverage without cost-sharing for immunizations that are recommended and determined to be for routine use by the Advisory Committee on Immunization Practices (ACIP), a federal committee comprised of immunization experts that is convened by the Centers for Disease Contr ...
Serious and Persistent Mental Illness in Texas Medicaid: Descriptive
... including housing assistance, occupational training, community mental health teams, and crisis intervention services. ...
... including housing assistance, occupational training, community mental health teams, and crisis intervention services. ...
WC Healthcare Services at HMP Erlestoke April
... (CARATs), drug and alcohol programmes in prisons and Compact Based Drug Testing, most of which were previously commissioned directly by prisons. These services have been relabelled as psychosocial substance misuse services. ...
... (CARATs), drug and alcohol programmes in prisons and Compact Based Drug Testing, most of which were previously commissioned directly by prisons. These services have been relabelled as psychosocial substance misuse services. ...
Session 16: Overview of creating a compliant
... Regulation (cont.) Patient Protection and Affordable Care Act (PPACA) became ...
... Regulation (cont.) Patient Protection and Affordable Care Act (PPACA) became ...