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Click here for dental referral ENG
Click here for dental referral ENG

... Future Smiles is a prevention based dental hygiene program and does not provide restorative dental care (fillings/crowns). Please take this document to your child’s dentist on their next appointment. If you do not have a dentist the following is a network of community dental clinics that can provide ...
the File - NAHU Education Foundation
the File - NAHU Education Foundation

... deductibles. As an alternative, he suggests employers and other purchasers use the principles of Value-Based Insurance Design (V-BID) in their plans. V-BID plans waive deductibles for needed treatment in much the same way that the Patient Protection and Affordable Care Act mandates coverage without ...
Reminder About Orthodontic Prior Authorization
Reminder About Orthodontic Prior Authorization

... Request Form must contain the date of service on which the orthodontic diagnostic tools were produced. If the request is approved, the date that the records were produced is considered to be the start date of the orthodontic authorized period. Note: For group providers, if the Texas Provider Identif ...
Slide 1
Slide 1

... health homes that include their case management program and provider • More attention, help needed to protect beneficiary rights and choices • They will likely be asked to participate in fresh new health/BH assessments and to help shape new goal and treatment plans ...
Community Care of North Carolina
Community Care of North Carolina

... Why an FQHC? Centers are designed to serve low-income and un insured populations FQHC’s have significant financial advantages vis a vis Medicaid, Medicare, and prescription drug pricing There is a highly successful, well-run organization in our area, and we have developed a trust relationship There ...
ABSTRACT Background : survey of the occlusion in population
ABSTRACT Background : survey of the occlusion in population

... Background : survey of the occlusion in population groups usually include in their objections the academic assessment of occlusal feature, the planning resources for public health treatment programmers, the comparison of different population and the screening of groups for orthodontic treatment. Lik ...
Utilization Management
Utilization Management

... • Involves a determination of whether the service is necessary and appropriate for the patient’s symptoms, diagnosis, treatment, and recovery. • Many MCO contract definitions of “medically necessary” state that services may not be provided primarily for the convenience of the patient or the provider ...
Provider newsletter A new leader at the helm of the
Provider newsletter A new leader at the helm of the

... Members are encouraged to discuss all of their health concerns with their physicians. However, the opportunity to discuss additional symptom or disease-related information or to ask health-related question at any time, day or night is one more way CCHP members can take an active role in their health ...
Clinical Associate - SeaView Community Services
Clinical Associate - SeaView Community Services

... SUMMARY DESCRIPTION: Collects relevant client information for initial treatment plan and case reviews. May provide direct services to adults with serious mental illness and/or severely emotionally disturbed children, adolescents and their families, to include individual and group skills development, ...
Healthcare and Long for People with Topeka Town Healthcare and
Healthcare and Long for People with Topeka Town Healthcare and

... • Can’t get prescribed name-brand medication when generics don’t work as well. After trying many different medications, the name-brand medicine often doesn’t work as well if patient returns to it. • Reimbursement not provided for healthcare support team in hospital o No hospital reimbursement when P ...
cmisp - Department of Human Assistance
cmisp - Department of Human Assistance

... The purpose of the County Medically Indigent Services Program (CMISP) is to provide medically necessary care to eligible indigents who are residents of Sacramento County. It is a program of “last resort”. CMISP is available to residents who have no other resources for health care, not eligible for a ...
Los Angeles County Commission on HIV Health Services
Los Angeles County Commission on HIV Health Services

... with income over 133% FPL to purchase insurance  More affordable and better coverage options for individuals without group coverage  Federal premium and cost-sharing subsidies for individuals with incomes133% - 400% FPL o Around $19,000 to $57,616/per year for an individual based on current standa ...
DSHS Presentation - Washington State Hospital Association
DSHS Presentation - Washington State Hospital Association

... – 24‐hour access to professional services by providing a nurse‐triage line in project communities, – Improve the ability of community health clinics (CHCs) to be effective Medical Homes and alternate emergency care providers, and – Create a case management system that is integrated with the nurse‐tr ...
Arizona
Arizona

... bill cuts nearly $59 billion over 10 years from the Hospital Insurance trust fund by repealing a 0.9 percent payroll tax on higher-income workers. This would hasten Medicare’s insolvency and diminish the program’s ability to pay for services in the future. The bill would also increase Medicare premi ...
Introduction to Medicare, Medicaid and Community Services
Introduction to Medicare, Medicaid and Community Services

... • Terminally ill with a prognosis < 6 months. • Patient choose to receive care from a hospice • Essentially all costs of terminal illness are covered including medications, transportation, home aids (20 hrs/week), inpatient respite care, bereavement services ...
Tuberculosis (TB) Related Medicaid Option
Tuberculosis (TB) Related Medicaid Option

...  Title XIX of the Social Security Act  Provides medical assistance for certain individuals and families who have low incomes and resources  Largest program providing medical and health related services to America’s poorest people ...
Georgia
Georgia

... (known as Essential Health Benefits) as well as current limits on consumers’ annual out-ofpocket spending. These changes could allow insurance companies to sell less comprehensive, potentially even skimpy, coverage and/or require consumers to pay higher deductibles, coinsurance and copayments. The r ...
TITLE32pt/39pt - Gatton College of Business and Economics
TITLE32pt/39pt - Gatton College of Business and Economics

... • Competitive markets can provide low cost coverage for most, reducing the need for public assistance. Impediments include: over-regulation of health insurance and healthcare providers; tax treatment of individual policies. • Health insurance vouchers to those remaining in true need. -E.g., “Cash an ...
ualr.edu
ualr.edu

...  Amends ERISA, PHSA, IRC  Financial requirements and treatment limits on MH/SUD benefits must be no more restrictive than those applicable to medical/surgical benefits  Group plans only (not small e’or or individual)  CMS, IRS, DOL announced Final Rule in Nov. 2013, effective Jan. 2014 ...
Agency for Health Care Administration Assisted Living Facilities
Agency for Health Care Administration Assisted Living Facilities

... A & B, and meet additional clinical impairment criteria • Services – Case management, and 20 other home and community-based services including assisted living services, 11 acute care services, Medicare co-payments and coinsurance, and unlimited nursing facility care in enrolled facilities • Service ...
Attachment 2
Attachment 2

... Attachment 2 ...
BLOG 120412 April is Dental Health Month
BLOG 120412 April is Dental Health Month

... Since April in Ontario is Dental Health month starting at the beginning is appropriate. ...
Financial Aspects of Treating Hepatitis C
Financial Aspects of Treating Hepatitis C

... with children under 18 years of age. •Medicaid is subject to income requirements •Medicaid Recipients are offered excellent options for ...
When Medicaid for children was created in 1967, President Lyndon
When Medicaid for children was created in 1967, President Lyndon

... (3) DENTAL SERVICES (A) which are provided (i) at intervals which meet reasonable standards of dental practice, as determined by the state after consultation with recognized dental organizations involved in child health care, and (ii) at such other intervals, indicated AS MEDICALLY NECESSARY, to det ...
KATONAH REFERRAL.SHEET
KATONAH REFERRAL.SHEET

... q Proof of custody/guardianship must be presented at the time of admission. Our referring community includes: clinicians, managed care organizations, schools, employers, employee assistance program personnel, clergy, family members, community agencies, and self-referrals. Four Winds maintains regula ...
< 1 ... 29 30 31 32 33 >

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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