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Medicaid is a government program in the United States 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 significant ...
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.
The acronym HCPCS originally stood for HCFA Common Procedure Coding System, a medical billing process used by the Centers for Medicare and Medicaid Services (CMS). Prior to 2001, CMS was known as the Health Care Financing Administration (HCFA).
Early and Periodic Screening, Diagnostic and Treatment (EPSDT) is the child health component of Medicaid.Federal statutes and regulations state that children under age 21 who are enrolled in Medicaid are entitled to EPSDT benefits and that States must cover a broad array of preventive and treatment services.
A year earlier, Medicaid expansion legislation had nearly passed, but a Democratic lawmaker accidentally voted against the bill, leaving it one vote short. May 2015 Indiana Gov. Mike Pence (R) and the Republican legislature enact the most conservative version of Medicaid expansion to date, which requires enrollees to shoulder more of their ...
Medical billing, a payment process in the United States healthcare system, is the process of reviewing a patient's medical records and using information about their diagnoses and procedures to determine which services are billable and to whom they are billed.
Mako Medical, a Raleigh-based lab-testing company, has agreed to pay the state $2.1 million after state investigators identified unnecessary Medicaid billing for urine drug tests over five years.
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.