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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 ...
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.
Rosie's Law is a proposed legislative act in Texas aimed at restoring health insurance coverage for abortion care services. First introduced by Texas House Representative Sheryl Cole in 2019, the law seeks to lift the state Medicaid funding ban for abortion care, include abortion services in the Texas Medicaid program, and repeal the 2017 ban on abortion coverage through private insurance and ...
Section 1115 Research & Demonstration Projects: States can apply for program flexibility to test new or existing approaches to financing and delivering Medicaid and CHIP. Section 1915(b) Managed Care Waivers: States can apply for waivers to provide services through managed care delivery systems or otherwise limit people's choice of providers.
One of the 2010 law’s primary means to achieve that goal is expanding Medicaid eligibility to more people near the poverty level. But a crucial Supreme Court ruling in 2012 granted states the power to reject the Medicaid expansion, entrenching a two-tiered health care system in America, where the uninsured rate remains disproportionately high ...
There are two main forms of Medicaid managed care, "risk-based MCOs" and "primary care case management (PCCM)." [3] Managed care delivery systems grew rapidly in the Medicaid program during the 1990s. In 1991, 2.7 million beneficiaries were enrolled in some form of managed care.
Austin, Texas 78711-2548 Phone: (512) 936-1304 ATTORNEYS FOR THE STATE OF TEXAS FISH & RICHARDSON, P.C. Mr. Tommy Jacks SBOT NO. 10452000 One Congress Plaza 111 Congress Avenue, Suite 810 Austin, Texas 78701 Phone: (512) 472-5070 - AND - FISH & RICHARDSON, P.C. Mr. Tom Melsheimer SBOT NO. 13922550 Ms. Natalie Arbaugh SBOT NO. 24033378 Mr. Scott ...
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]