ALF Medicaid Waiver Recipients Entitled to Retroactive Benefits.The article discusses the U.S. District Court, Southern District of Ohio case Price v. Medicaid Director, Office of Medical Assistance, which deals with retroactive benefits of Medicaid waiver program in Ohio....
If the member is found eligible for aMedicaid waiverprogram, the MCOP shall provide the MyCare Ohio person-centered service plan and any identified service issues or follow-up necessary to successfully transfer care to the waiver case management agency. ...
CaliforniaIn California, there are multiple Medicaid (Medi-Cal) programs that provide assistance at home. TheHCBA Waiver, formerly called the NF/AN Waiver, is for individuals with more severe needs, theMSSP Waiverif for persons with lower levels of impairment. There is also the popularIn Home...
Combined spending on nursing care facilities, home health care, and other health care made up roughly one-third of Medicaid’s total costs in 2019. Other health care costs include home- and community-based waiver programs that allow people to receive long-term care at home or in their c...
The relative force of these competing pressures within a state can help explain not only whether or not the state expands Medicaid, but also the manner in which it does so, such as through a waiver or executive action. I present five case studies – Nevada, Arizona, Ohio, Arkansas, and ...
(PIHP): An organization that manages Medicaid specialty services underthe state's approved Concurrent 1915(b)/1915(c)Waiver Program, on a prepaid, shared-risk basis, consistent withthe requirementsof 42CFR part401 et al June 14, 2002, regardingMedicaid managed care. (InMedicaid regulations,...
Of women who dropped off Medicaid after birth, only 11% enrolled in Medicaid Family Planning Waiver program. Conclusion: Care for Medicaid insured pregnant women is underutilized and fragmented. A better organized system of care is needed, including integration of care coordination, to improve ...
Federal Medicaid waiver authority, including information on current activity in this area and the New York Disaster Relief Medicaid waiver granted in response to the September 11 terrorist attacks. Current federal legislation related to Medicaid and Hurricane Katrina relief efforts. ...
In its waiver request, for example, Kentucky wrote that requiring certain able-bodied adults to work and charging copays and premiums would cause 95,000 of the more than 500,000 newly covered adult Medicaid enrollees to lose coverage, at a savings to the state of $331 million...
eligibility categories, medically needy groups, transitional Medicaid, or through §1115 waiver (continued...) CRS-7 Over this 4-year period, adults qualifying for Medicaid via cash-related groups fell 36%, while enrollment in other groups rose by nearly 24%, yielding a net loss for ...