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With indemnity dental plans, the insurance company generally pays the dentist a percentage of the cost of services. Restrictions may include the co-payment requirements, waiting period, stated deductible, annual limitations, graduated percentage scales based on the type of procedure, and the length of time that the policy has been owned.
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 Department of Community Health was created in 1996 through an executive order merging Department of Public Health (as Community Public Health Agency), Department of Mental Health, Medical Services Administration from the Department of Social Services, responsibility for Liquor Control Commission, Licensing, Monitoring and Accreditation and Division of Occupational Health from Department of ...
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.
WellCare began operations in 1985 in Tampa, Florida as a Medicaid provider for the State of Florida. [3] In 1992, Kiran Patel, a cardiologist and entrepreneur, purchased the company. [4] [5] In 2002, Patel sold it to a New York investment group led by George Soros and Todd Farha. [5] Also in 2002, Todd Farha joined the company as CEO. [6] [7]
As initially passed, the ACA was designed to provide universal health care in the U.S.: those with employer-sponsored health insurance would keep their plans, those with middle-income and lacking employer-sponsored health insurance could purchase subsidized insurance via newly established health insurance marketplaces, and those with low-income would be covered by the expansion of Medicaid.
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For children, federal Medicaid law requires coverage of “necessary health care, diagnostic services, treatment, and other measures . . . to correct or ameliorate defects and physical and mental illnesses and conditions.” [26] Thus, the EPSDT medical necessity standard assures a level of coverage sufficient not only to treat an already ...
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