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The defendants are the Florida Agency for Health Care Administration and the Florida Department of Children. Three Florida residents filed a federal lawsuit Tuesday, alleging that state agencies ...
In the United States, a third-party administrator (TPA) is an organization that processes insurance claims or certain aspects of employee benefit plans for a separate entity. [1] It is also a term used to define organizations within the insurance industry which administer other services such as underwriting and customer service.
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.
According to the Department of Health and Human Services, [12] over 82% of employers with over 500 employees offer a self-funded health plan, and over 25% of firms with between 100 and 499 employees and over 13% of employers with fewer than 100 employees also offer a self-funded health plan.
Florida's Medicaid call center is experiencing long wait times and high rates of disconnection that could be preventing families from renewing or accessing healthcare coverage, according to a ...
The Biden administration on Thursday asked employers to give workers who lose Medicaid coverage more time to sign up for health insurance through their jobs. Medicaid is the state- and federally ...
The HCBS Waiver currently has 28 services [1] and there is a spending cap based on the individuals needs. However, services must be "medically necessary". Individuals that meet the following criteria are eligible to receive services under the Home and Community Based Services Waiver: Be under 65 years of age; Be a Florida resident
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.