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As of 2014, 26 states have contracts with MCOs to deliver long-term care for the elderly and individuals with disabilities. [2] There are two main forms of Medicaid managed care, "risk-based MCOs" and "primary care case management (PCCM)." [3] Managed care delivery systems grew rapidly in the Medicaid program during the 1990s.
In the United States, Medicaid is a government program that provides health insurance for adults and children with limited income and resources. The program is partially funded and primarily managed by state governments, which also have wide latitude in determining eligibility and benefits, but the federal government sets baseline standards for state Medicaid programs and provides a ...
As initially passed, the ACA was designed to provide universal health care in the U.S.: those with employer-sponsored health insurance would keep their plans, those with middle-income and lacking employer-sponsored health insurance could purchase subsidized insurance via newly established health insurance marketplaces, and those with low-income would be covered by the expansion of Medicaid.
Last fall, the U.S. Centers for Medicare and Medicaid Services approved a test program that allowed Arkansas to spend up to $85 million in federal and state funds on health-related needs.
The state also chose not to award a contract to Wellpoint, which provides health insurance to about 46% of kids and families with Medicaid and CHIP health insurance in the Tarrant County region.
The California Medical Assistance Program (Medi-Cal or MediCal) is the California implementation of the federal Medicaid program serving low-income individuals, including families, seniors, persons with disabilities, children in foster care, pregnant women, and childless adults with incomes below 138% of federal poverty level.
The Medicaid Drug Rebate Program is a program in the United States that was created by the Omnibus Budget Reconciliation Act of 1990 (OBRA'90). The program establishes mandatory rebates that drug manufacturers must pay state Medicaid agencies related to the dispensing of outpatient prescription drugs covered by Medicaid .
In 2014, the state implemented the Affordable Care Act's Medicaid expansion, folding previous OHP eligibility requirements into a single income requirement; up to 138% of the federal poverty level. [13] By December 2014, enrollment in Oregon's Medicaid and CHIP programs had increased to 1,030,940 people (26% of the state population). [14]