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  2. Medicaid waiver - Wikipedia

    en.wikipedia.org/wiki/Medicaid_waiver

    Medicaid Waiver programs help provide services to people who would otherwise be in an institution, nursing home, or hospital to receive long-term care in the community. Prior to 1991, the Federal Medicaid program paid for services only if a person lived in an institution.

  3. Clinical Laboratory Improvement Amendments - Wikipedia

    en.wikipedia.org/wiki/Clinical_Laboratory...

    Centers for Medicare and Medicaid Services (CMS) has the primary responsibility for the operation of the CLIA Program. Within CMS, the program is implemented by the Center for Medicaid and State Operations, Survey and Certification Group, and the Division of Laboratory Services. List of CLIA test complexity categorizations: Waived; Moderate

  4. Medicaid Home and Community-Based Services Waivers

    en.wikipedia.org/wiki/Medicaid_Home_and...

    Under an HCBS waiver, states can use Medicaid funds to provide a broad array of non-medical services (excluding room and board) not otherwise covered by Medicaid, if those services allow recipients to receive care in community and residential settings as an alternative to institutionalization.

  5. Primary care case management - Wikipedia

    en.wikipedia.org/wiki/Primary_care_case_management

    In 1981, the 97th session of Congress enacted the Omnibus Budget Reconciliation Act (OBRA) which allowed state Medicaid programs to implement risk-based managed care programs as well as PCCM, pending HCFA (now known as CMS) waiver approval. The state had to meet two requirements in order to be granted HCFA approval.

  6. Title 42 of the United States Code - Wikipedia

    en.wikipedia.org/wiki/Title_42_of_the_United...

    42 U.S.C. ch. 32—Third Party Liability for Hospital and Medical Care; ... 42 U.S.C. ch. 135: Residency and Service Requirements in Federally Assisted Housing;

  7. Provisions of the Affordable Care Act - Wikipedia

    en.wikipedia.org/wiki/Provisions_of_the...

    The Centers for Medicare & Medicaid Services (CMS) will begin the Readmissions Reduction Program, which requires CMS to reduce payments to IPPS hospitals with excess readmissions, effective for discharges beginning on October 1, 2012. The regulations that implement this provision are in subpart I of 42 CFR part 412 (§412.150 through §412.154 ...

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