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Assessing the Potential Impact of the Affordable
Assessing the Potential Impact of the Affordable

... – RW-eligible PLWHA will likely need more assistance with premiums, co-insurance and co-payments – RW Health Insurance Assistance allocation may need increase to meet the needs of Exchange-eligible PLWHA (now receives 5th largest allocation of funds in EMA) – Increased need for wrap-around services ...
Dental Resources - St. Louis Community College
Dental Resources - St. Louis Community College

... Payment is due at time of treatment, though more costly procedures (dentures and crowns) can be paid on a 50-50 basis (50% due when the procedure is started and the other 50% paid prior to final processing in the laboratory). Patients must go through an initial screening appointment; if accepted for ...
Healthcare Reform of 2010
Healthcare Reform of 2010

... policy and impose a tax of $50,000 per year for failure to meet these requirements ...
Public Health: Medicare and Medicaid
Public Health: Medicare and Medicaid

... Medicaid Planning, or the act of shifting assets out of a Medicaid recipient's name so they can qualify for Medicaid, is a problematic legal issue. Under current Medicaid laws, there is a "3-year look-back window," which essentially means the government will scrutinize any transfer of assets that we ...
Medicaid Administrative Claiming “MAC”
Medicaid Administrative Claiming “MAC”

... Preventive services such as well-child check ups Laboratory or x-rays Treatment for most major diseases Hospital stay Substance abuse Vision care, routine screenings, and glasses Hearing services, hearing aids, & batteries Home health care Specialists care & referrals Physical, occupational, and spe ...
MAC Staff Training Powerpoint
MAC Staff Training Powerpoint

... Preventive services such as well-child check ups Laboratory or x-rays Treatment for most major diseases Hospital stay Substance abuse Vision care, routine screenings, and glasses Hearing services, hearing aids, & batteries Home health care Specialists care & referrals Physical, occupational, and spe ...
The Affordable Care Act and Women`s Preventive Care Services
The Affordable Care Act and Women`s Preventive Care Services

... The Affordable Care Act and Women’s Preventive Care Services In accordance with the Affordable Care Act (ACA) and corresponding regulations, Coventry Health Care expanded women’s preventive care benefits to ensure that women have access to a full range of preventive services without cost sharing. EX ...
Health Care Reform and Breastfeeding Support
Health Care Reform and Breastfeeding Support

... Sec. 2713. Coverage of preventive health services. Requires all plans to cover preventive services and immunizations recommended by the U.S. Preventive Services Task Force and the CDC, and certain child preventive services recommended by the Health Resources and Services Administration, without any ...
Colorado AIDS Drug Assistance Program
Colorado AIDS Drug Assistance Program

... reviewing patients who appear to have dropped out of care, again, with $$ resources to assist – including housing, inpatient mental health and substance abuse treatment, medical transportation – ...
Presentation - Treatment Access Expansion Project
Presentation - Treatment Access Expansion Project

... Expands eligibility (state option); provides essential health benefits (EHB) (federal and state regulations); improves reimbursement for PCPs (only 2013-14); includes health home (state option); allows for free preventive services (state option for Medicaid). ...
New Legislation to be Enacted Regarding Emergency 5 Day Supply
New Legislation to be Enacted Regarding Emergency 5 Day Supply

... New Legislation to be Enacted Regarding Emergency 5 Day Supply of Drugs used to Treat Substance Use Disorders in Medicaid Fee-for-Service (FFS) & Medicaid Managed Care As a result of changes to Insurance Law section 3216 paragraph 31-a, effective January 1, 2017, insurance carriers will be required ...
Spring 2016 DSRIP slides - MEDIA
Spring 2016 DSRIP slides - MEDIA

... The inclusive approach became a foundation for an enduring bond among the organizations ...
FY17 MIECHV HFI Chart Review Tool
FY17 MIECHV HFI Chart Review Tool

... Periodic Vision surveillance using age appropriate tools (ie Bright Futures, EI Vision Development Checklist) Periodic Hearing surveillance using age appropriate tools (ie Bright Futures) Referral if indicated Follow-up if referral made Education provided on prevention ...
Health care for single homeless people in South Yorkshire
Health care for single homeless people in South Yorkshire

... Arrangements for accessing health care Three-quarters of hostel and day centre managers believed that the current arrangements for accessing medical care were working well, although some believed that there is a lack of understanding among some GP and practice staff about the needs of the client gro ...
Practice Problem Answers
Practice Problem Answers

... While Medicaid coverage is considerably more generous than Medicare coverage, there are several reasons that takeup rates are modest for Medicaid and nearly universal for Medicare. First, Medicaid is considered a welfare program designed to help the needy, so there is a stigma attached to it. Medica ...
Handout - Definitions (PDF: 103KB/4 pages)
Handout - Definitions (PDF: 103KB/4 pages)

... The conscientious, explicit and judicious use of current best‐available evidence gained  from scientific study to make decisions about the care of individual patients.  Scientific  evidence includes both clinical research (for example, epidemiological studies and  clinical studies about the impact o ...
to view the PowerPoint presentation.
to view the PowerPoint presentation.

... Dis-investment in housing, especially public & rental housing Cost of living increasing faster than paychecks; evictions and ...
Los Angeles County Commission on HIV Health Services
Los Angeles County Commission on HIV Health Services

... HealthPAC contract: "Case management….and transitions among levels of care, if needed and 3. Medical Case Management (Both Part A and MAI) as agreed to between the medical home and - RWP covers case management that links clients with services the County." HealthPAC defines this service as being offe ...
to - Medical Society of Virginia
to - Medical Society of Virginia

... Providers must attach hereto an organization staff roster of only those individuals who attest to meet ASAM and DMAS requirements for OBOTs and attest that only these staff shall treat DMAS-eligible members. By completing and submitting this form, you attest that your agency meets the DMAS requireme ...
Chart Pack
Chart Pack

... – Percent of enrolled school age children/adolescents whose unexcused absences have decreased while receiving services – Compares total number of school days possible to total number of school days attended – at monthly intervals – Compares days in the community vs days in out of home • Family and y ...
slides for this presentation
slides for this presentation

... Screening all callers for federal medical programs such as TennCare, QMB, and SLMB; and state programs such as Cover Kids and Access TN • Counsel Medicare recipients on Part D and other Medicare related issues, and give accurate summaries of available pre-existing plans • Language Services/Medical I ...
ARRx_Notification_20150209
ARRx_Notification_20150209

... This advance notice is to provide you the opportunity to contact, counsel and change patients from less proven or less cost-effective medicines to the Arkansas Medicaid-preferred drug. If you are an Arkansas Medicaid provider and have prescriptions attributed to you by your provider ID number by the ...
Anthem HealthKeepers Plus: Product Overview
Anthem HealthKeepers Plus: Product Overview

... offered by DMAS to access information regarding eligibility • MediCall is a voice response system offered by DMAS that provides information regarding eligibility by telephone at 800-8849730 or 800-772-9996 - Member eligibility, special indicator codes, managed care program assignment (including cove ...
Community Resources List
Community Resources List

... including home visits, family wellness programs Variety of psychologists, psychiatrists and licensed therapists who proved therapy and med management. Psychiatry for children Provide therapy and medication management ...
Single-Payer and the Crisis in Mental Health Care
Single-Payer and the Crisis in Mental Health Care

... “Healthcare Pay-For-Performance Folly” July 7, 2014 “Let’s Reduce Administrative Burdens in Health Care” -Nov 2014 ...
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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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