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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]
CHCs could gain by expanding their non-physician primary care personnel by establishing community outreach clinics in order to satisfy this need and by doing so, CHCs might effectively serve a lot more Medicaid patients. [50] However, physicians and non-physician health professionals were trained to treat varying complexity levels of diseases ...
Introduced for Medicaid in 1989 and Medicare in 1990, this designation allowed HRSA-funded health centers to receive cost-based reimbursement rates. Covered services included those provided by physicians, physician assistants, nurse practitioners, certified nurse midwives, clinical psychologists, and clinical social workers.
Kristen Chapman, the mother of one of the plaintiffs in the case, said her family moved to Richmond, Virginia, from Tennessee in 2023 because of a ban on gender-affirming care in their home state. Her 17-year-old daughter, Willow, had an initial appointment scheduled for last week with a new provider who would accept Medicaid.
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 IPA assembles care providers in self-directed groups within a geographic region to invent and implement health improvement solutions, form collaborative efforts among care providers to implement these programs, and exert political influence upward within the community to effect positive change. [citation needed]
Wisconsin Physicians Service (WPS) provides supplement insurance plans in Wisconsin, Florida, Illinois, and Ohio to people enrolled in Original Medicare. The plans comprise a choice of base plans ...
A variety of different types of health plans serve Medicaid managed care programs, including for-profit and not-for-profit, Medicaid-focused and commercial, independent and owned by health care providers such as community health centers. In 2007, 350 health plans offered Medicaid coverage.