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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]
For Medicaid benefits, beneficiaries generally enroll in their state's Medicaid FFS program or a Medicaid managed care plan administered by an MCO under contract with the state. Recently, Congress and CMS have placed greater emphasis on the coordination and integration of Medicare and Medicaid benefits for dual-eligible beneficiaries.
In early 2009, the State Farm Florida subsidiary, the state's largest insurer, offered to withdraw from writing property insurance business in Florida after state regulators refused to approve a 47% property rate increase. State Farm said that, in Florida, it had paid out US$1.21 in claims for every dollar in premiums since 2000.
Who to contact about Medicare in Colorado. Individuals in Colorado who are looking for more information on Medicare can contact the State Health Insurance Assistance Program (SHIP) at 888-696-7213 ...
For premium support please call: 800-290-4726 more ways to reach us
State Medicaid programs must administer their coverage of prescription outpatient drugs in a manner that accounts for participation in the 340B Drug Pricing Program. Typically, state Medicaid programs obtain rebates for dispensed outpatient prescription drugs through the Medicaid Drug Rebate Program. However, duplicate discounts are prohibited.
The Colorado Department of Health Care Policy and Financing (HCPF) is the principal department of the Colorado state government [2] responsible for administering the Health First Colorado and Child Health Plan Plus programs as well as a variety of other programs for Colorado's low-income families, the elderly, and persons with disabilities.
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