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The Texas Health and Human Services Commission, which operates these programs — called STAR and CHIP — shocked many pediatric providers in Tarrant County in March when it decided not to award ...
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 ...
A rural health clinic (RHC) is a clinic located in a rural, medically under-served area in the United States that has a separate reimbursement structure from the standard medical office under the Medicare and Medicaid programs. RHCs were established by the Rural Health Clinic Services Act of 1977 (P.L. 95-210), (Section 1905 of the Social ...
The NPI is a 10-position, intelligence-free numeric identifier (10-digit number). This means that the numbers do not carry other information about healthcare providers, such as the state in which they live or their medical specialty. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. As outlined in ...
While the majority of providers accept Medicare assignments, (97 percent for some specialties), [72] and most physicians still accept at least some new Medicare patients, that number is in decline. [73] While 80% of physicians in the Texas Medical Association accepted new Medicare patients in 2000, only 60% were doing so by 2012. [74]
Federally Qualified Health Center. A Federally Qualified Health Center (FQHC) is a reimbursement designation from the Bureau of Primary Health Care and the Centers for Medicare and Medicaid Services of the United States Department of Health and Human Services. This designation is significant for several health programs funded under the Health ...
The community health center (CHC) in the United States is the dominant model for providing integrated primary care and public health services for the low-income and uninsured, and represents one use of federal grant funding as part of the country's health care safety net. The health care safety net can be defined as a group of health centers ...
On top of individual problems with healthcare in Texas there is a shortage of healthcare providers as a whole in the state. Of the 254 counties in Texas, 230 counties are experiencing a whole-county shortage of primary care physicians, 20 counties are experiencing a partial area-specific shortage of PCPs, and only 4 counties are experiencing no ...