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In 1995, the State of Texas passed the Texas Medicaid Fraud Prevention Act (TMFPA), which specifically aims at combating fraud against the Texas Medicaid Program, which provides healthcare and prescription drug coverage to low-income individuals. [51]
Medicaid is the largest source of funding for medical and health-related services for people with low income in the United States, providing free health insurance to 85 million low-income and disabled people as of 2022; [3] in 2019, the program paid for half of all U.S. births. [4]
These requirements call for Medicaid agencies to: 1. establishment of written agreements which provide for maximum utilization of Title V-supported services and aims to improve child health status; and 2. reimbursement of Title V providers for services rendered, even if such services are provided free of charge to low-income uninsured families.
Of the more than 4.5 million people who have gone through the Medicaid recertification process, 2.3 million have had their Medicaid renewed, but only 233,256 by using the ex parte process of cross ...
In 2021, Medicaid’s improper payments reached nearly $100 billion. That year, the program spent a staggering one in every five dollars incorrectly. Even Medicaid’s proper payments are inefficient.
A Katie Beckett waiver or TEFRA waiver is a Medicaid waiver concerning the income eligibility for home-based Medicaid services for children under the age of nineteen. Prior to the Katie Beckett waiver, if a child with significant medical needs received treatment at home, the child's income would be deemed to include the parents' entire ...
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In a 2009 survey of physician appointment wait times in the United States, the average wait time for an appointment with an orthopedic surgeon in the country as a whole was 17 days. In Dallas, Texas the wait was 45 days (the longest wait being 365 days). Nationwide across the U.S. the average wait time to see a family doctor was 20 days.
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