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  2. Prior authorization - Wikipedia

    en.wikipedia.org/wiki/Prior_authorization

    [18] [19] By 2013, a Washington State Senate proposal was submitted and would require the state Insurance Commissioner to standardize on a prior authorization form. [8] As of May 2013, the National Council for Prescription Drug Programs had adopted a standardized process for exchanging electronic prior authorizations. [20]

  3. Step therapy - Wikipedia

    en.wikipedia.org/wiki/Step_therapy

    Step therapy, also called step protocol or a fail first requirement, is a managed care approach to prescription.It is a type of prior authorization requirement that is intended increase insurance company profits at the expense of patient health by forcing patients onto lower cost prescription drugs.

  4. hawk-i - Wikipedia

    en.wikipedia.org/wiki/Hawk-i

    hawk-i is a medical insurance program run by the U.S. state of Iowa.It provides health care coverage for low-income children of citizens and qualified aliens.It is designed to supplement Medicaid by covering children whose family's income is above the Medicaid limit but below the hawk-i limit.

  5. Iowa Senate votes to extend Medicaid for low-income mothers ...

    www.aol.com/iowa-senate-votes-extend-medicaid...

    Current Medicaid eligibility in Iowa for women postpartum allows for a maximum family income of 375% of the federal poverty level (about $117,000 for a family of four).

  6. Affordable Care Act - Wikipedia

    en.wikipedia.org/wiki/Affordable_Care_Act

    Individuals whose household incomes are between 100% and 400% of the federal poverty level (FPL) are eligible to receive federal subsidies for premiums for policies purchased on an ACA exchange, provided they are not eligible for Medicare, Medicaid, the Children's Health Insurance Program, or other forms of public assistance health coverage ...

  7. Marketing authorisation - Wikipedia

    en.wikipedia.org/wiki/Marketing_authorisation

    In most countries, a marketing authorisation is valid for a period of 5 years. After this period, one should apply for renewal of the marketing authorisation, usually by providing minimal data proving that quality, efficacy and safety characteristics are maintained and the risk-benefit ratio of the medicinal product is still favourable.

  8. Medicaid - Wikipedia

    en.wikipedia.org/wiki/Medicaid

    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 ...

  9. Medicare Prescription Drug, Improvement, and Modernization Act

    en.wikipedia.org/wiki/Medicare_Prescription_Drug...

    The Medicare Prescription Drug, Improvement, and Modernization Act, [1] also called the Medicare Modernization Act or MMA, is a federal law of the United States, enacted in 2003. [2] It produced the largest overhaul of Medicare in the public health program's 38-year history.

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