Services (HCBS) Waiver granted by the Centers for Medicare and Medicaid Services (CMS) under Section 1915 (c) of the Social Security Act. This waiver, approved to be effective, April 1, 2008 for five years, operates concurrently with a 1915 (b) Waiver, the ...
B. Requests for prior approval of Medicaid services should be fully documented by the provider and treating clinicians to demonstrate medical necessity. Providers must complete and submit requests for prior approval (1) to the correct Utilization Review (UR) Vendor using the ...
“The statewide Care4Carolina coalition applauds the leadership of the North Carolina House for introducing a straightforward North Carolina solution to expand Medicaid and close our state’s health care coverage gap. In introducing HB 76, House Leadership has demonstrated their commitment to helping h...
Most of the counties with the highest medical debt were in states that had not expanded Medicaid. The legislature voted this year to expand Medicaid, but it does not take effect until a state budget is approved. A House committee considered a medical debt bill last year that Folwell endorse...
As one of the largest providers of care to the uninsured in the state, WakeMed is positioned to benefit particularly from the HASP and Medicaid expansion. In the first two months of FY24 (as of unaudited Nov. 30, 2023), WakeMed's operating EBITDA margin measured ...
Our staff can perform a complimentary benefits check and explain coverage before treatment, at no charge. We think you’ll be surprised at how cost-effective your chiropractic care will be. We accept all major medical including Medicare and Medicaid. ...
policy and stop plans to apply Competitive Bidding pricing to CRT power wheelchair accessories. Unfortunately, this change did not extend to CRT manual wheelchair accessories which we are still fighting. We’ve also been able to prevent various harmful Medicare and Medicaid policy changes from being...
He has a proven track record of working with his fellow House members to craft common-sense, practical policy solutions. As the primary sponsor of Medicaid Expansion legislation, Michael Wray recognized the critical need to help our low income residents get access to health care coverage and ...
Medicaid recipients may have service restrictions due to their eligibility category that would make them ineligible for this service. 2.2 EPSDT Special Provision: Exception to Policy Limitations for Recipients under 21 Years of Age 42 U.S.C. § 1396d(r) [1905(r) of the Social Security ...
As the country moves closer to a post-pandemic reality, there is another danger looming on the horizon. Millions of additional people are in danger of losing Medicaid coverage whenever the COVID publichealthemergency declaration is allowed to expire and all of the paperwork and other administrative...