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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.
The Texas Health and Human Services Commission is standing by its decision not to award a large Medicaid contract to Cook Children’s Health Plan, a major provider of Medicaid health insurance to ...
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 ...
On top of individual problems with healthcare in Texas there is a shortage of healthcare providers as a whole in the state. Of the 254 counties in Texas, 230 counties are experiencing a whole-county shortage of primary care physicians, 20 counties are experiencing a partial area-specific shortage of PCPs, and only 4 counties are experiencing no ...
Conflicting information, computer systems not working, denials before verification and more problems come to the surface from whistleblowers, advocacy groups.
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The Texas Medical Board (TMB [1]) is the state agency mandated to regulate the practice of medicine by Doctors of Medicine (MDs) and Doctors of Osteopathic Medicine (DOs) in Texas. The Board consists of 12 physician members and seven public members appointed for a six-year term by the Governor and confirmed by the Senate.
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