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IEHP Medi-Cal Benefit Manual 01/16 B
IEHP Medi-Cal Benefit Manual 01/16 B

... Outpatient behavioral health services performed by the PCP, within their scope of practice, are covered benefits. Coverage includes outpatient psychotherapeutic medications prescribed by the PCP subject to the IEHP Formulary. Patients who need specialty behavioral health services (including outpatie ...
While the shared experience can enhance education and save
While the shared experience can enhance education and save

... configuration was the potential to deploy nurse practitioners in dental practices. While interprofessional education is good and saves money, the magic in this revolves around the fact that there are about 40 million people in the United States who regularly access dental care but not other health c ...
Glossary
Glossary

... Meaningful Use (MU): The American Recovery and Reinvestment Act of 2009 authorizes the Centers for Medicare & Medicaid Services (CMS) to provide incentive payments to eligible professionals (EPs) and hospitals who adopt, implement, upgrade, or demonstrate meaningful use of certified electronic healt ...
Prevention in Health Care Reform: The Time Has Come
Prevention in Health Care Reform: The Time Has Come

... services. n Under Medicaid, the Act: n Provides coverage for comprehensive tobacco cessation services for pregnant women. n Offers incentives to beneficiaries who successfully complete certain healthy lifestyle programs targeting chronic disease risk factors such as high blood pressure, high chol ...
Delta Dental of Iowa Employee Summary of Covered Services and Benefits
Delta Dental of Iowa Employee Summary of Covered Services and Benefits

... Root Canals (Endodontic Services) - Apicoectomy - Direct Pulp Cap - Pulpotomy - Retrograde Fillings - Root Canal Therapy Gum and Bone Diseases (Periodontal Services) - Conservative Procedures (Non-surgical) - Complex Procedures (Surgical) - Periodontal Maintenance Therapy ...
Oral Health Fact Sheet for Dental Professionals Children with Epilepsy
Oral Health Fact Sheet for Dental Professionals Children with Epilepsy

... • Monitor child for anti-epileptic medication induced gingival hyperplasia. Meticulous oral hygiene is the best prevention. In severe cases surgical reduction may be needed. • Powered toothbrushes may be too stimulating for some children and should be recommended only after determining if the chil ...
CDSPI Group Benefits
CDSPI Group Benefits

... family only (and not employees of your practice), you must have a professional corporation or be a sole proprietor. ...
SAMHSA Powerpoint Template
SAMHSA Powerpoint Template

... Demos to Achieve Better Care/Value  State Innovation Models: Support for development and testing of state-based models for multi-payer payment and health care delivery system transformation  Health Homes (Section 2703): Whole person care for Medicaid recipients w/specific characteristics or condit ...
this File
this File

... the most common reason was Been to “couldn't afford“ at 65.7% ...
ACOs on Steroids: Why the Oregon Experiment Matters
ACOs on Steroids: Why the Oregon Experiment Matters

... Health Authority. “We actually took it one step further and showed that if every state did this, over the next 10 years it would return about USD 1.5 trillion to the federal coffers,” which would have a significant positive impact on the federal deficit, Goldberg said.6 The most ambitious part of th ...
II - CityMatCH
II - CityMatCH

... Title V MCH services block grant programs serve ~2.5 million pregnant women (prenatal, delivery, and postpartum care for low income, at-risk pregnant women) Health centers serve ~4.5 million women of childbearing age and provide prenatal care to some 330,000 pregnant women ...
2015 KY Oral Health Coaltion Overview
2015 KY Oral Health Coaltion Overview

Rule file
Rule file

... (b) Refusal – an inmate-initiated decision to decline a procedure or treatment that a health care provider has indicated is medically necessary. (2) It is the responsibility of the provider ordering a particular procedure or treatment to explain to the inmate at the time the initial order is written ...
IPHS (Indian Public Health Standards)
IPHS (Indian Public Health Standards)

... 12. What are additional investigation facilities required at CHC? ECG should be made available in the CHC with appropriate training to nursing staff. All necessary reagents, glassware and facilities for collecting and transport of samples should be made available 13. What types of diagnostics servic ...
PDF - Virtual Mentor American Medical Association Journal of Ethics
PDF - Virtual Mentor American Medical Association Journal of Ethics

... habilitation (to help a person learn, improve, or keep skills for daily living), and respite care. States can also propose other types of services that may assist in diverting and/or transitioning patients from institutional settings into their homes and communities [70]. As the National Council of ...
Акулич Л.Д. «Страноведение США» Лекция 5 «Здравоохранение
Акулич Л.Д. «Страноведение США» Лекция 5 «Здравоохранение

... connection with his or her job. Retirement programs for mainly State and local government paid teachers, police officers, and fire fighters—date back to the 19th century. All these social programs were far from universal and varied considerably from one state to another. Prior to the Great Depressio ...
Certification of Dental Coverage
Certification of Dental Coverage

... waiting periods will apply. Dental coverage provided through your health insurance may not qualify. Creditable Coverage Members with comparable prior dental coverage will be credited for time served under the prior carrier, as long as there is no more than a 63 day lapse in coverage. Proof of prior ...
Utilization of Dental Services Among Medicaid
Utilization of Dental Services Among Medicaid

... dental service and increasing the rate of sealant use among children ages 6 to 9. CMS is working with states to develop strategies to achieve these goals. Under Medicaid’s Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) benefit, most children enrolled in Medicaid are entitled to dent ...
December 2011 Medicaid Global Cap Report
December 2011 Medicaid Global Cap Report

... Lower Fee-for-Service Spending: Through December, Medicaid spending in major fee-for-service categories is $335 million below projections as follows: o Inpatient hospital spending is $20 million below the estimate due to a decrease in utilization greater than anticipated. The drop in utilization is ...
Behavioral Health Services
Behavioral Health Services

... Behavioral health services are designed to improve and enhance the emotional, mental, and behavioral health of the organization’s targeted client population. Services may include but are not limited to counseling or psychotherapy, psychiatry and psychotropic medication evaluation and management, cri ...
Health care in Hungary
Health care in Hungary

... In Hungary, health care is based on a compulsory and comprehensive social insurance scheme. The most important operational principle of the health system is solidarity, which means that insured persons do not pay risk proportionate insurance premium, but an income proportionate contribution pursuant ...
Transformation Transfer Initiative Grant NJ DIVISION OF MENTAL
Transformation Transfer Initiative Grant NJ DIVISION OF MENTAL

... Other Mental Disorders (Ex Drug or Alcohol Dependence) SBIRT ...
framework for comprehensive health reform
framework for comprehensive health reform

... As part of the expansion, all newly eligible non-pregnant adults would be guaranteed a benchmark benefit package consistent with section 1937 of the Social Security Act. The benchmark and benchmark-equivalent packages would be amended to ensure that they meet the requirements for a Silver-level plan ...
January 2014 Balancing Incentive Program national call
January 2014 Balancing Incentive Program national call

... and improving access and the quality of care in Medicaid ...
Health Care Reform Coordinating Council Staff Recommendations
Health Care Reform Coordinating Council Staff Recommendations

... Adult Dental Coverage (Note: may not be included in EHB) • BCBS Standard and GEHA plans cover limited basic adult dental • All three FEHBP plans cover limited preventive adult dental ...
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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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