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CareStar has provided case management services since 1988 in various mid-western states, predominantly in Ohio and Indiana.In 2004, CareStar signed a five-year, $140 million contract with the Ohio Department of Job and Family Services to provide case management services for its medicaid waiver homecare program.
By 2010, the company was the third largest Medicaid HMO in the country, with $2.5 billion in revenue and 800,000 members across Ohio and Michigan. [12] In 2010, CareSource announced expansion of its provider network in Southeastern Ohio through a partnership with Quality Care Partners (QCP), a physician-hospital organization (PHO). [13]
One-e-App is a Web-based system that lets families and individuals apply for multiple health, social service and other support programs from one location. One-e-App is used by consumers themselves or by staff who assist families and individuals at community clinics, hospitals, state and county agencies, food banks and other locations.
In the 1980s, as Medicaid managed care expanded across the county, safety net providers, such as Community Health Centers (CHCs) and public hospitals, feared that managed care would reduce reimbursements for Medicaid-eligible services, making it more difficult for them to provide care to the un- and under-insured, and result in a loss of Medicaid volume, as beneficiaries would choose to see ...
A federal whistleblower lawsuit accuses insurance companies and hospitals of defrauding Indiana's Medicaid program of up to $700 million ― money that could have helped prevent a $1 billion ...
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 ...
Medicaid Fraud Control Unit - The Medicaid Fraud Control Unit investigates fraud involving healthcare providers that intentionally defraud the state's Medicaid program through fraudulent practices. The unit also investigates allegations of prescription drug diversion, patient abuse, neglect, and exploitation in facilities receiving payments ...
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