Statistics about Medicaid fraud in Texas and New York are presented, including amount New York recovered in inappropriate payments, number of allegations of provider fraud, waste and abuse investigated in Texas, and amount Texas avoided spen...
Welcome Blue Cross and Blue Shield of Texas (BCBSTX) Medicaid Providers BCBSTX is pleased to offer health plans for individuals who qualify for Medicaid (STAR, STAR Kids) and CHIP programs. BCBSTX has been around for over 90 years and is the largest provider of health benefits in the state...
Hawaii converted its Medicaid Waiver programs, Nursing Homes without Walls and Residential Alternative Community Care into managed care. Home care may still be covered for Hawaii Medicaid beneficiaries but it will be at the discretion of the managed care provider. Learn more aboutHawaii managed Medicai...
This info-graphic illustrates how the “provider fee” scam operates. The net result of all this is a nightmare for federal taxpayers, but states also are losing out when you consider the long-run consequences. And that’s even true with the Medicaid expansions contained in Obamacare, which ...
The MedicaidStar+PlusProgram is in Texas. Your Health Plan. Your Choice. DADS has issued the following Provider Alerts or Bulletins: Effective September 1, 2014, STAR+PLUS services for acute care only will be expanded to include some individuals who have Intellectual or Developmental Disabilities ...
Medicaid EnrollmentTreatment Grantees shall enroll as a provider with Texas Medicaid and Healthcare Partnership (TMHP) and all Medicaid Managed Care organizations in Grantee’s service region within the first quarter of this procurement term and maintain through the procurement term. ...
Luckily,in Texas, if you are not comfortable with the kind of Medicaid coverage you have or your primary care provider,you have the option to make changes. You could either change your plan or the PCP you see. Read More:How to Reapply for or Renew Medicaid in Texas ...
A number of other states haveinstituted work requirements for those on Medicaid,and for them continued enrollment may be precarious. Again, coverage varies widely by state but finding a provider is sometimes just the luck of the draw and timing – with any insurance plan. ...
Another way of committing fraud is to impersonate a licensed provider. For example, in 2022, a Texas woman was accused of using her ex-husband’s provider number to submit fraudulent claims to Medicaid for counseling services that were never provided, receiving more than $600,000 in fraudulent ...
The authors examine how 963 expectant mothers in Florida searched for and selected a prenatal care provider. Overall, the results suggest that women search... TJ Hoerger,LZ Howard - 《Medical Care》 被引量: 108发表: 1995年 Changes in Medicaid Physician Fees and Patterns of Ambulatory Care Con...