Search results
Results from the WOW.Com Content Network
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 ...
Medicaid is a joint federal and state program that provides health care coverage to low-income individuals and families. There were over 79 million Americans enrolled in the program as of October ...
As of 2014, 26 states have contracts with MCOs to deliver long-term care for the elderly and individuals with disabilities. [2] 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.
Among the touted benefits of the two new Medicaid contracts, scheduled to start on July 1, 2025, according to the McKee administration. Reducing unnecessary prior authorizations (PAs ...
State Medicaid agencies use the PMS system to draw down funds to pay hospitals, doctors and other providers that treat Medicaid recipients, as well as to pay insurers, which contract with states ...
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]
PROVIDENCE – The McKee administration has rescinded the $15-billion Medicaid contracts awarded last month in response to protests by two of the major players in the Rhode Island health insurance ...
The Medicaid Drug Rebate Program is a program in the United States that was created by the Omnibus Budget Reconciliation Act of 1990 (OBRA'90). The program establishes mandatory rebates that drug manufacturers must pay state Medicaid agencies related to the dispensing of outpatient prescription drugs covered by Medicaid .