Interview: Tim Westmoreland discusses how Medicaid works and who is eligibleJOHN YDSTIE
InBarberton, the Medicare Administrative Contractor (MAC) challenged the PRRB’s jurisdiction to hear a Medicaid-eligible days appeal. The MAC asserted the hospital couldn’t be dissatisfied with the MAC’s determination because the hospital didn’t claim the additional Medicaid days at issue in th...
“Anyone on Medicare can be a target of Medicare fraud,” said Centers for Medicare & Medicaid Services (CMS) Administrator Chiquita Brooks-LaSure. “But there are steps you can take to protect yourself and your loved ones by using CMS’ fraud tips to recognize and report potential scammers....
Under Obamacare, though, people with household incomes up to 133% of the federal poverty level (about $14,400 for individuals, or $29,300 for a family of four) will be eligible for Medicaid regardless of whether they meet any of the other conditions of need. As a result of these loose...
Doctor, Did You Wash Your Hands?™ - Providing Health Information To Consumers Regarding How To Manage And Navigate Health Care Issues
(GEP) that runs from January 1 through March 31 of every year. You may have to pay a late enrollment penalty for both Part A and Part B if you didn’t sign up when you were first eligible. You can also make changes to your coverage during generalMedicare Advantage Open Enrollment ...
Plans for People with Special Needs Some Part C Plans have been created specifically for people with special needs.These Plans are tailored to those with chronic conditions like heart disease, those who live in nursing homes, or those who are also enrolled in Medicaid (dual-eligibles). ...
Here is everything you need to know. What is Medicare? Medicare is the largest health insurance program in the country, covering more than 66 million older Americans and some younger people with disabilities. The U.S. Centers for Medicare & Medicaid Services (CMS) oversees the federal program...
Most people who are already enrolled in a New Mexico Medicaid program will be eligible for Turquoise Care. For all Medicaid programs, you have to meet certain federal guidelines. These include: Residency –You'll need some type of I.D. to prove you live in New Mexico. ...
Hospital stays may also generate a reason for an appeal, says Teague. “If a person is considered inpatient in a hospital, they may be eligible for rehabilitation days under Medicare. However, if a person is considered ‘under observation’ for a period of the stay in the hospital, that pe...