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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 ...
The Texas Health and Human Services ... not to award Cook Children’s two Medicaid contracts it has had for years. If the commission’s original decision stands, more than 124,000 people who get ...
Secondary capitation is a relationship arranged by a managed care organization between a physician and a secondary or specialist provider, such as an X-ray facility or ancillary facility such as a durable medical equipment supplier whose secondary provider is also paid capitation based on that PCP's enrolled membership.
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.
The Texas Health and Human Services Commission (HHSC) is an agency within the Texas Health and Human Services System. It was established by House Bill 2292 in 2003 during the 78th Legislature, [ 1 ] which consolidated twelve different healthcare agencies into five entities under the oversight of HHSC.
Conflicting information, computer systems not working, denials before verification and more problems come to the surface from whistleblowers, advocacy groups.
Section 1115 Research & Demonstration Projects: States can apply for program flexibility to test new or existing approaches to financing and delivering Medicaid and CHIP. Section 1915(b) Managed Care Waivers: States can apply for waivers to provide services through managed care delivery systems or otherwise limit people's choice of providers.
As of July 2012, the company was one of the largest providers of dental services in the Dallas-Fort Worth area and has about 60,000 Medicaid patients. [4] As of September 2012, the company has about 20 clinics in the State of Texas. [8] In August 2013, South Texas Dental bought the company. [9]
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