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  2. Florida Medicaid waiver - Wikipedia

    en.wikipedia.org/wiki/Florida_medicaid_waiver

    The HCBS Waiver currently has 28 services [1] and there is a spending cap based on the individuals needs. However, services must be "medically necessary". Individuals that meet the following criteria are eligible to receive services under the Home and Community Based Services Waiver: Be under 65 years of age; Be a Florida resident

  3. Third-party administrator - Wikipedia

    en.wikipedia.org/wiki/Third-party_administrator

    In the United States, a third-party administrator (TPA) is an organization that processes insurance claims or certain aspects of employee benefit plans for a separate entity. [1] It is also a term used to define organizations within the insurance industry which administer other services such as underwriting and customer service.

  4. Self-funded health care - Wikipedia

    en.wikipedia.org/wiki/Self-funded_health_care

    According to the Department of Health and Human Services, [12] over 82% of employers with over 500 employees offer a self-funded health plan, and over 25% of firms with between 100 and 499 employees and over 13% of employers with fewer than 100 employees also offer a self-funded health plan.

  5. Florida's Medicaid call center's wait times, disconnection ...

    www.aol.com/news/floridas-medicaid-call-centers...

    The report found that 8 in 10 calls to Florida's Medicaid call center were automatically disconnected from the phone system. When people managed to get through, there were long delays to reach ...

  6. Disabled people in Florida still struggling to get Medicaid ...

    www.aol.com/news/disabled-people-florida-still...

    Of the 1.9 million people in Florida who lost Medicaid coverage, according to KFF, patient advocates estimate that thousands of disabled people like Eakin have been affected.

  7. 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 ...

  8. Centers for Medicare & Medicaid Services - Wikipedia

    en.wikipedia.org/wiki/Centers_for_Medicare...

    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.

  9. Agency for Health Care Administration - Wikipedia

    en.wikipedia.org/wiki/Agency_for_Health_Care...

    The Florida Agency for Health Care Administration (AHCA) is the chief health policy and planning entity for the U.S. state of Florida. The agency was created by the Florida Legislature as part of the Health Care Reform Act of 1992. [ 1 ]