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Executive Summary
Executive Summary

... Medicaid is the public federal-state health insurance program for poor and low-income families, while Medicare is the federal public health insurance program for senior citizens. This means that the vast majority of care provided by the County is unreimbursed (i.e., very little revenue is realized f ...
SENI ORIT Y - East Alabama Medical Center
SENI ORIT Y - East Alabama Medical Center

... physician or allergist, who will take a detailed history of your symptoms and likely recommend skin testing. Dr. Tole says that diagnostic testing by an allergist is important for seniors. “Many over-the-counter medications used for nasal allergies include antihistamines that have been associated wi ...
Consent and Agreement for Treatment
Consent and Agreement for Treatment

... Please read the following information carefully. After you have read this Consent and Agreement, please sign your name below to accept the terms of this agreement. 1. Consent to treat: As a consenting adult, I agree to permit the students, faculty, staff and residents of The UT Health Science Center ...
Generic Specification for Transition INSERT
Generic Specification for Transition INSERT

... Information systems and technologies are in place to facilitate the easy and secure sharing of information and communication. Good quality information is collected and used to inform service planning Supporting self- care Children, young people and their families are appropriately educated and enab ...
3: Children's Access to Health Care
3: Children's Access to Health Care

... An issue of paramount importance in any discussion of children’s health is whether young children have access to health care when they need it. Although most children are generally healthy, almost all need occasional treatment for acute illness and a few have chronic conditions or disabilities that ...
Principles and Guidelines
Principles and Guidelines

... designated PCP, or to provide services in collaboration with the student’s PCP. (2) The staffing pattern, including how medical coverage will be assured in those schools where the full-time presence of a mid-level practitioner is not provided (3) How students can access 24-hour/7-day coverage when ...
Outline of Coverage – Plan C Dental Prime for
Outline of Coverage – Plan C Dental Prime for

... without charge if this Plan were not in force under any Worker's Compensation Law, Federal Medicaid program, or Federal Veteran's Administration program. However, if a covered person receives a bill or direct charge for dental services under any governmental program, then this exclusion will not app ...
Smile In-Network Only Dental Plan 50/2500/Endo
Smile In-Network Only Dental Plan 50/2500/Endo

... Many benefits have pre-determined annual schedules and frequency limitations based on last delivery date and dental necessity. If you are unsure about the frequency of when a benefit can be accessed, you can call (888) 702-4171. This is only a summary of the Blue Shield Life Dental SmileSM In-Networ ...
FL Insurance Mandates 052815
FL Insurance Mandates 052815

... additional parity requirements for employers with more than 50 employees that offer mental health or substance use disorder benefits in their group health plans. Depending on a plan’s design, the MHPAEA may require stricter parity requirements than state law mandates. Also, beginning in 2014, the AC ...
Blue Shield Individual and Family Dental HMO
Blue Shield Individual and Family Dental HMO

... Precious and semi-precious metals, if used, will be charged to the patient at the additional cost of the metal. Porcelain on molar crowns are subject to an additional charge of $75.00. In order to be covered, orthodontic treatment must be received in one continuous course of treatment and must be re ...
Community Oral Health Promotion - The Australian Dental Association
Community Oral Health Promotion - The Australian Dental Association

... • Children and young adults – frequent consumption of drinks and foods with high sugar and/or acid content should be discouraged. • The elderly – increasing the sugar content in the diet of elderly persons, due to their increased risk of caries from reduced saliva levels and more exposed root surf ...
Section-by-Section Summary
Section-by-Section Summary

... Section 101 – The Prevention and Public Health Fund Section 4002 in the Patient Protection and Affordable Care Act established the Prevention and Public Health Fund (PPHF) as an advanced appropriation for prevention, wellness, and public health initiatives to be administered Department of Health and ...
PDF - First Nations Health Authority
PDF - First Nations Health Authority

... Health Benefits Frequently Asked Questions How can I Any First Nations person (that has a status number) who confirm that I am eligible for FNHA Benefits? ...
LAO Maximizing Federal Reimbursement for Parolee Mental Health Care
LAO Maximizing Federal Reimbursement for Parolee Mental Health Care

... The recently passed federal Patient Protection and Affordable Care Act gives states the option to expand their Medicaid programs in January 2014 to cover most low-income individuals— including childless adults—with the federal government initially paying for 100 percent of the share of costs for new ...
Statement of Purpose Template
Statement of Purpose Template

... The surgery has clinical rooms on both floors. On the ground floor there are three GP consulting rooms and one nurse’s treatment room and one clinical room and a phlebotomy room on the first floor. The Practice has a fully operational website that not only gives patients information about the surger ...
The Patient Protection and Affordable Care Act April 2010
The Patient Protection and Affordable Care Act April 2010

... funding for research in public health services and systems to examine best practices in the area of prevention. A new CDC program will help state, local, and tribal public health agencies improve surveillance for and responses to infectious diseases and other conditions. CDC also will evaluate best ...
assembly floor analysis
assembly floor analysis

... COMMENTS: According to the author, psychologists and licensed clinical social workers are currently employed by RHCs and FQHCs and these clinics receive reimbursement for these providers. While clinics may employ an MFT, there is not a reimbursement mechanism for these professionals, which creates a ...
TRICARE Covered Benefits and Services
TRICARE Covered Benefits and Services

... • Colonoscopy: Once every 10 years starting at age 50 for persons with average risk, or as listed below for individuals with increased risk for colorectal cancer: • Hereditary non-polyposis colorectal cancer syndrome: Every 2 years beginning at age 25, or 5 years younger than earliest age of diagnos ...
Section 6: Medical Management
Section 6: Medical Management

... facility that combines a structured psychosocial setting with an academic educational program does not meet medical necessity criteria for this level of care. PacificSource believes that Mental Health and SubstanceRelated and Addictive Disorders Services should occur as close as possible to the home ...
Clinical Research Billing Compliance Key Terms
Clinical Research Billing Compliance Key Terms

... MEDICAID A joint federal and state program that helps with medical costs for some people with limited income and resources. Medicaid programs vary from state to state. MEDICARE Medicare is the federal health insurance program for people who are 65 or older, certain younger people with disabilities, ...
Department of Health Care Services
Department of Health Care Services

... 2. Age appropriate physical examination, including oral examination, is essential with child unclothed, and draped for older child or adolescent. 3. See Dental HAG. 4. Chart indicates ages developmental screening is recommended. For reimbursement information, see CHDP PIN 09-14. 5. Pelvic within 3 y ...
Work Programme: Dental Services Topic Group
Work Programme: Dental Services Topic Group

... 1) Access; waiting lists, distance to travel 2) children’s dentistry 3) quality; satisfaction, understanding of charges and future treatment, cost of treatment 4) specialist treatment e.g. orthodontics 2) What are the facilities for children’s dentistry? a) Is there suitable access and quality of ca ...
Understanding Medicaid Claims and Encounter Data
Understanding Medicaid Claims and Encounter Data

... outpatient, home health and prescription drug claims, are used to determine the entire cost per episode of care which is compared against a risk-adjusted average cost per episode of care. If principle accountable providers deliver care below a specific threshold while still meeting quality benchmark ...
PORT OF VIRGINIA EMPLOYEE BENEFITS The Local Choice
PORT OF VIRGINIA EMPLOYEE BENEFITS The Local Choice

... the HSA is $1,000 for single and $2,250 for family. Care is provided by medical health care providers and facilities and behavioral health care providers and facilities. Networks are the Anthem PPO network in Virginia and the BlueCard® PPO and BlueCard Worldwide® networks outside Virginia. There is ...
to read the full testimony. - New York Legal Assistance Group
to read the full testimony. - New York Legal Assistance Group

... years old, when her father was promoted at work. Without SSI, she also lost Medicaid including crucial Medicaid home care services such as medical care, speech and physical therapy. With her father’s income, she can only qualify for Medicaid with a “parental refusal,” until she enrolls in the OPWDD ...
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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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