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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.
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Health Partners Plans (HPP) is a non-profit hospital-owned health maintenance organization which provides Medicaid and Medicare to central and southeastern Pennsylvania residents. [1] Health Partners Plans has over 262,000 members throughout Pennsylvania and provides healthcare to low income residents in the counties of Bucks , Chester ...
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]
The report said about 2.8 million Pennsylvania residents participate in the Physical HealthChoices program for Medicaid, in which managed care organizations contract with pharmacy benefit managers.
Pennsylvania Department of Human Services that the current ban on Medicaid coverage for abortion services amounts to sex-based discrimination and sent this issue back to Commonwealth Court.
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An estimated 9 to 10 million people had gained Medicaid coverage, mostly low-income adults. [citation needed] The Kaiser Family Foundation estimated in October 2015 that 3.1 million additional people were not covered because of states that rejected the Medicaid expansion. [215] [216]