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Florida leads the country in ACA enrollment, with 4.2 million residents signing up during the recent open enrollment period. The decrease in Medicaid coverage isn't the only reason for the rise in ...
The Centers for Medicare & Medicaid Services ( CMS) is a federal agency within the United States Department of Health and Human Services (HHS) that administers the Medicare program and works in partnership with state governments to administer Medicaid, the Children's Health Insurance Program (CHIP), and health insurance portability standards.
WellCare Health Plans, Inc. WellCare Health Plans, Inc. is an American health insurance company that provides managed care services primarily through Medicaid, Medicare Advantage and Medicare Prescription Drug plans for members across the United States. WellCare began operations in 1985 and has its headquarters in Tampa, Florida.
Florida Medicaid is "The Payer of Last Resort". The rate for support coordination was reduced in 2011. The highest rate paid over the 18 years of the waiver was $161.60 per month, for each person served. In mid 2016 the rate was changed from the lowered $125.71 per month to $148.69, for adults and for children living in group homes, and from ...
A Katie Beckett waiver or TEFRA waiver is a Medicaid waiver concerning the income eligibility for home-based Medicaid services for children under the age of nineteen. Prior to the Katie Beckett waiver, if a child with significant medical needs received treatment at home, the child's income would be deemed to include the parents' entire ...
The state's Agency for Health Care Administration has warned that a phishing attack compromised data for as many as 30,000 Medicaid recipients. One of its staffers fell for a "malicious phishing ...
At times, it seemed like the Affordable Care Act was on life support during Donald Trump’s four years in the White House. The federal health insurance program was saved from being repealed by ...
Primary Care Case Management (PCCM) is a system of managed care in the US used by state Medicaid agencies, in which a primary care provider is responsible for approving and monitoring the care of enrolled Medicaid beneficiaries, typically for a small monthly case management fee in addition to fee-for-service reimbursement for treatment. [1]