The article reveals that Hawaii's Medicaid program is requiring child care providers to provide care management and care coordination for children. According to Patti Bazin, health care services branch administrator of the Med-QUEST program, the agency is able to determine whether care coordination ...
(PCS). Participants have the option of choosing their own care providers or having the state manage that process on their behalf. Another option is theAlaskans Living Independently Waiver(ALI), which provides many supports for the participants in their homes. But it does not pay for personal ...
The federal poverty guidelines are 15% higher for U.S. citizens residing in Hawaii and 25% higher for those living in Alaska. However, low income alone does not necessarily qualify a person for Medicaid benefits, and many poor Americans are not covered by the program. To be covered by Medi...
Thursday, July 26th, 2007 Posted inGeneral-Medicare,Louisiana Medicaid|13 Comments » Centers for Medicare Medicaid Services (CMS)(23) For Medicare Providers(15) Fraud and Abuse(9) General-Medicaid(89) State Medicaid Programs(64) Alabama Medicaid(1) ...
RALEIGH, N.C. (AP) — North Carolina's Medicaid agency fell short on ensuring doctors and other medical providers met licensing and ownership qualifications to serve patients in the program, state auditors declared Thursday.
In contrast, PCCMs merge fee-for-service reimbursement and managed care models. The essentials of the model include assigning each member to a primary care provider who receives a monthly case management fee. However, individual providers do not assume risk. They are paid on a f...
Master Commentary: A Providers View - Richard J. Baron LESSONS FROM THE FIELD The Arizona Health Care Cost Containment System - Nelda McCall Medicaid Managed Care Programs in Hawaii, Oklahoma, Rhode Island, and Tennesse - Leighton Ku, et al ISSUES AND CHALLENGES What the States Can Expect from...
The article reports on the approval of Medicare- and Medicaid-related provisions in the Medicare Improvements for Patients and Providers Act of 2008 by the U.S. Congress on July 15. The Act reverses a 10.6% reduction in Medicare payments... AW Hance,KS Sealander - 《Venulex Legal Summaries...
and used by payers and providers to classify hospital inpatient stays into clinically meaningful diagnostic groups with similar average resource requirements. APR DRGs provide a mechanism for healthcare payers to make a single case rate payment for similar services provided in a hospital inpatient stay...
Texas is among the five states that don't cover either test; the others are Florida, Mississippi, New Jersey and Hawaii. Drug-resistance tests come in two types -- a genotypic test, approved by the Food and Drug Administration (FDA), that identifies mutations in a patient's virus and ...