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Issue Brief New Opportunities for Integrating and Improving Health Care for Women,
Issue Brief New Opportunities for Integrating and Improving Health Care for Women,

... Source: M. Abrams, E. Schor, and S. Schoenbaum, “How Physician Practices Could Share Personnel and Resources to Support Medical Homes,” Health Affairs, June 2010 ...
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... bacterial load with defensin expression and caries experience ...
Home Based Services Program Description
Home Based Services Program Description

... new HBS Program offers these Members support at home that is more extensive, more carefully directed and more targeted at longer term complex cases. It also is more inclusive of a range of services including psycho-social and behavioral health services that are necessary to stabilize patients at hom ...
HCPCS Level II Definitions and Guidelines
HCPCS Level II Definitions and Guidelines

... code 99070 (general supplies) and be as specific as possible unless the local carrier or payer directs otherwise. ...
REQUEST FOR PROPOSAL - Albuquerque Public Schools
REQUEST FOR PROPOSAL - Albuquerque Public Schools

... providing oral health programs/services in APS. The intent of this RFI is to create a system to ensure seamless support, efficiency and maximization of resources to extend outreach and reduce duplication of effort to meet the needs of children in APS. The purpose of the RFI is to gather information ...
Access Blue New England
Access Blue New England

... services except as required by law for clinical trials • Hospitalization for conditions that are not covered • Human organ transplants other than those listed in the Subscriber Certificate as Covered Services • Mental health services which do not usually result in favorable modification through shor ...
Collaborative Care Models - Virginia Physical Therapy Association
Collaborative Care Models - Virginia Physical Therapy Association

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ADD/ADHD
ADD/ADHD

... • Use Tell-Show-Do approach when introducing new procedures. • Tell child what is expected of him/her during the visit. • Consider small rewards for appropriate behavior (stickers, etc). Positive reinforcement may be helpful in obtaining compliance. • Discuss appropriate behavioral interventions ...
Ambulatory Detoxification
Ambulatory Detoxification

... and psychiatric consultation as well as direct affiliation with other levels of care, including specialty addiction treatment and general psychiatric services for additional problems identified through a comprehensive biopsychosocial assessment should be available. There should be the ability to con ...
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Eligibility deltadentalins.com Benefits and Covered Services*

... *The plan provides an additional $200 toward the calendar year maximum when you visit a PPO dentist. Look for this information for the dentist of your choice on the Delta find a provider website to take advantage of this additional amount: (Other network affiliations: Delta Dental PPO) ...
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FY2014 Annual Report - Denver Indian Health and Family Services

... equally to everyone who visits our clinic, we continue to operate core programs that focus on eliminating health disparities among the AI/AN community. In improving the quality of and access to care, we now provide dental services and have deployed electronic health rec ...
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Act 775 - Arkansas General Assembly

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Disability Rights Advocates - Advancing equal rights for people with

... your local Health Education Department. You can also choose from several online healthy lifestyle programs, which can help you improve your health and well-being. For example, the Total Health Assessment gives you an overview of your current health, along with an action plan for making improvements. ...
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Palm Beach County Medical Society Services

... • A glitch in the ACA requires patients who have purchased coverage through an insurance exchange be given 90 days before their policy is canceled for non-payment of premiums. After the first 30 days of nonpayment of premiums, there is no obligation for insurers to reimburse providers for services r ...
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2017 Transparency in Coverage FAQ Page

... Prior authorization for medically necessary orthodontia services will be requested from Dental Health Services by the member’s participating orthodontist. The prior authorization timeline for medical necessity approval is 15 days from receipt of Dental Health Services Orthodontic Form for Medical Ne ...
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Provider NEWS Texas Children’s Health Plan has a new website! Summer 2013

... also vulnerable due to changing eligibility criteria for coverage with public health coverage plans for adults. Adolescents who areon private health coverage plans with their parents may be able to continue to age 26 per the Affordable Care Act (ACA). Given these risks for gaps in health coverage, i ...
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September 14, 2011

... New York or the State University of New York, that are located in a city with a population of over one million may receive additional It must comply with the State's current Medicaid plan, amend­ medical assistance DSH payments for inpatient hospital services for ment, or new plan that may be submit ...
September 14, 2011
September 14, 2011

... New York or the State University of New York, that are located in a city with a population of over one million may receive additional It must comply with the State's current Medicaid plan, amend­ medical assistance DSH payments for inpatient hospital services for ment, or new plan that may be submit ...
Early Orthodontic Treatment Means A Smile For Life
Early Orthodontic Treatment Means A Smile For Life

... orthodontic evaluation at an early age, and he is not alone in this thinking. The American Association of Orthodontics (AAO) recommends that all children receive an orthodontic screening by age seven. “Permanent teeth usually begin to come in at age six or seven and this is the time that orthodontic ...
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Texas LocalPlusIN Exclusions and Limitations

... disorders by a tax supported institution of the State of Texas. ...
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... Effective April 1, 2011, each of the New York State mental hygiene agencies; the Office of Mental Health, the Office of Alcoholism and Substance Abuse Services, and the Office for People with Developmental Disabilities will establish utilization thresholds for their hospital-based clinics. These thr ...
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Virginia Connect Exclusions and Limitations

... such exclusion, Cigna shall immediately provide coverage for such medical condition to the extent otherwise covered under the contract, subscription contract or health services plan. If, upon appeal to the Court of Appeals or the Supreme Court, such medical condition is held to be compensable under ...
Oral Health Services - American Academy of Family Physicians
Oral Health Services - American Academy of Family Physicians

... the process. For example, consider the steps taken to assess and manage the oral health of a 1-year-old patient in the context of a well-child visit: First, the front-desk staff determines whether the child is covered by Medicaid or another payer that pays for oral health screens and fluoride varnis ...
2003 Annual Institute for Governors` Health Policy Advisors
2003 Annual Institute for Governors` Health Policy Advisors

... • Pharmacy Costs: Double digit increases in pharmacy expenditures, due to price inflation, utilization, and types of prescriptions used. • Enrollment Growth: Rising Medicaid enrollment due to past program expansions and increase in numbers of uninsured, and changing mix of Medicaid population have c ...
Medicaid Coverage and Other Healthcare
Medicaid Coverage and Other Healthcare

... A variety of health care resources for low-income people exist at the federal and state level. These resources can take the form of health care directly accessible by individuals or funding that flows through organizations that provide health care and related services. Accessing certain resources re ...
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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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