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Conflicting information, computer systems not working, denials before verification and more problems come to the surface from whistleblowers, advocacy groups.
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.
Texas has the most disenrollments. The Medicaid "unwinding" that began after eligibility checks resumed this year led millions of people to lose coverage. Texas has the most disenrollments.
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 State Office of Administrative Hearings (SOAH) was created in 1991 by the 72nd Texas Legislature as an independent agency to manage and conduct hearings in contested cases for most licensing and other state agencies. [1] SOAH provides a forum for administrative hearings for agencies without staff to conduct hearings. [2]
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In participating states, Medicaid eligibility is expanded; all individuals with income up to 133% of the poverty line qualify for coverage, including adults without dependent children. [43] [50] The law also provides for a 5% "income disregard", making the effective income eligibility limit 138% of the poverty line. [51]