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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]
The Texas Health and Human Services Commission (HHSC) is an agency within the Texas Health and Human Services System. It was established by House Bill 2292 in 2003 during the 78th Legislature, [ 1 ] which consolidated twelve different healthcare agencies into five entities under the oversight of HHSC.
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.
After tumultuous Medicaid unwinding, another insurance shakeup on way with loss of Superior HealthPlan in Central Texas. Here's what you should know. Central Texas Medicaid, CHIP recipients will ...
Conflicting information, computer systems not working, denials before verification and more problems come to the surface from whistleblowers, advocacy groups.
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). The NPI has replaced the Unique Physician Identification Number (UPIN) as the required identifier for Medicare services, and is used by other payers ...
As of June 1, 2015, the Texas Health and Human Services Commission mandates that electronic visit verification be used for all home healthcare visits billed to the state. [3] The state of Ohio began the process of implementing an electronic verification system that would be used starting in 2016. [7]
The Barbara Jordan Building's entrance is off of the Texas Capitol Mall, a newly designed pedestrian space. The Texas Department of Insurance (TDI) regulates insurers and other companies that conduct insurance business in Texas, and assists Texas-based insurance consumers. TDI was founded in 1876 as the Department of Insurance, Statistics and ...