Some data are missing by state and year, and the Centers for Medicare & Medicaid services report data quality issues for some data sources for some states in some years.32 Because of the consistent enrollment in Medicaid of adults with Down syndrome in our data, we were able to use all 9...
The authors present findings from a study of State Medicaid managed care enrollment and benefit policies in 1995 and 1996 for children with disabilities. D... HB Fox,MA Mcmanus,RA Almeida,... - 《Health Care Financing Review》 被引量: 32发表: 1997年 The Impact of Outreach Efforts in Reach...
More than 28 million children were enrolled in the program in 2018, representing 38 percent of overall Medicaid enrollment. State Medicaid coverage Initially, the ACA mandated that all state Medicaid programs would have to be extended to provide medical coverage to nearly all low-income groups. ...
By Victoria Bailey, Xtelligent News 09 Oct 2023 UHC Commercial Plan Focuses on Price Transparency, Preventive Care The payer’s emphasis on preventive care may have contributed to its and strong re-enrollment rate. Continue Reading By Kelsey Waddill, Managing Editor and Multimedia Manager News...
Provider Enrollment Streamline Your Workflow Learn how to submit documentation for utilization review efficiently. Click here to access this resource. Recent News Resolved: Issues With Electronic Claims Submission for MCO Forward Claims and LTC TMC Claims View ...
The kinds of managed care arrangements employed by state Medicaid agencies varied considerably, but, nationally, MCO plans accounted for over half of all the Medicaid managed care plans managing substance abuse treatment, whereas another 40% comprised specialty behavioral health carveouts. Our survey ...
Potential explanatory factors were tested relating to three domains, state policy choice, health care service utilization, and health care market competition using multiple regression analysis. State policy choice related to mandatory enrollment of Medicaid recipients into MCOs was found to be significantly...
Enrollment Timeline Individuals will need to choose a health plan or one will be assigned. Texas HHSC has directed MAXIMUS to host 30 community education sessions in addition to 60 enrollment events. MAXIMUS is working with provider organizations and local authorities across the state to coordinate ...
Private Insurance “Opt-out” As alternative to regular Medicaid coverage, individual enrolls in private insurance plan (usually ESI – employer-sponsored insurance) Under current Medicaid rules States can offer or require enrollment in ESI if: State provides full Medicaid wrap-around benefits State ...
Modern era Medicaid: Findings from a 50-state survey of eligibility, enrollment, renewal, and cost-sharing policies in Medicaid and CHIP as of January 2015 (2015) (The Kaiser Commission on Medicaid and the Uninsured (January 2015), Available at Http://Kff. Org/Health-Reform/Report/Modern-Era...