Medicaid compliance - PowerPoint PPT Presentation


Medicaid Managed Care Trends in Minnesota's Health Market

Explore the unique landscape of Minnesota's Medicaid managed care system, highlighting key trends for providers and health plans, financial analysis, hospital interactions, and a comparison with other states. Discover the differences in Minnesota's healthcare structure, including limited presence of

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Florida Medicaid Overview

Florida Medicaid is a crucial program providing health care coverage to low-income individuals in the state. The program is administered by the Florida Commission on Mental Health and Substance Abuse, overseeing core functions to ensure high-quality care, transparency, and cost-effectiveness. Medica

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A Deep Dive Into Kansas Medicaid Waiver, Supports and Services

This document explores the Kansas Medicaid waiver, special education services under IDEA, and educational transitions for students from age 3 to exiting public education. It delves into the concept of transition services, covering the importance of preparing students for adulthood through a coordina

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Legislative Budget Request Fiscal Year 2024-2025 Overview

Overview of the legislative budget request for fiscal year 2024-2025 by an agency focused on improving healthcare in Florida. The agency's core functions include policy planning, Medicaid administration, and healthcare facility regulation. It emphasizes cost-effectiveness, transparency, and high-qua

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Medicaid Unwinding: All-Hands-On-Deck Strategy for Children and Families

This confidential document outlines a strategy for Medicaid outreach to children and families, emphasizing the importance of maintaining coverage, engaging community partners, and addressing the potential impact of enrollment changes. Initiatives include spreading awareness, collaborating with agenc

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Medicaid and CHIP Coverage of New Treatments for Sickle Cell Disease

This communication highlights the Medicaid and Children's Health Insurance Program (CHIP) coverage of new treatments for Sickle Cell Disease (SCD), focusing on the approval of milestone gene therapies, Casgevy and Lyfgenia. It discusses the commitment of CMS to improving healthcare access, quality,

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Navigating Medicaid Waiver Application for Home and Community Based Services

Delve into the essential aspects of the Medicaid Waiver Application related to participant direction in this informative webinar session. Learn about key considerations, including service provisions, safeguards, and the importance of following HCBS rules to ensure quality care for individuals with d

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Understanding Racial and Ethnic Disparities in Health Care Utilization and Access

This presentation explores disparities in health care access among Medicare beneficiaries, focusing on the impact of loss of Medicaid and supplemental insurance eligibility. It discusses the challenges faced by Black and Hispanic individuals above the Medicaid cutoff, their lower likelihood of havin

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December 2023 Medicaid Forecast update

Indiana Family and Social Services Administration released the December 2023 update for Medicaid forecasts, projecting expenditures and funding through SFY 2025. The report includes detailed information on program areas, growth rates, federal funds, and assistance funding needs, highlighting key cha

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Medicaid Dentist Westminster: Find a Dentist Near Me Who Takes Medicaid

Without insurance, many people are unable to pay for a dental examination. Medicaid patients may encounter difficulties as they search for a Medicaid Dentist Near Me\u2014a dentist who takes Medicaid. For those who cannot afford medical care, the government offers health insurance through Medicaid.

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Finding-Your-Smile-Best-Medicaid-Dentist-Near-Me-in-Westminster

Dental & Implant Centers of Colorado - Westminster is your go-to Medicaid Dentist Near Me for exceptional dental care. Our clinic offers a full range of dental services, from preventive care to complex treatments, all covered under Medicaid. We pride ourselves on a patient-centric approach, providin

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Are You Trying to Find an Emergency Dentist Near Me in Westminster?

Looking for an emergency dentist near you? Dental & Implant Centers of Colorado - Westminster offers top-notch dental care, accepting Medicaid for all your urgent dental needs. Our expert team provides immediate and compassionate service, ensuring relief from dental pain or emergencies. Conveniently

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Electronic Visit Verification Overview

The Electronic Visit Verification (EVV) system is a requirement under the Federal 21st Century Cures Act for verifying Medicaid-covered Personal Care Services, Supportive Home Care, and Home Health Care. EVV utilizes technology to ensure authorized services are provided, with workers recording detai

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Medicaid Expansion and Business Community Impact

Medicaid expansion plays a crucial role in the business community, supporting job creation, economic activity, and the overall stability of healthcare systems. It offers vital health coverage to low-income individuals, bridging the gap for those ineligible for traditional Medicaid but unable to affo

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Ensuring Rights and Community Living for Medicaid-funded Home-Based Services

The Home and Community Based Services Settings Rule under Medicaid ensures individuals receiving services have full access to community living benefits, including autonomy, privacy, dignity, and choice in decision-making. The rule emphasizes person-centered planning, integration with the community,

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Medicaid Management Information System Replacement Project Communications Guide

Continuously updated Communications Reference Guide for the Medicaid Management Information System Replacement Project, providing key messages, timelines, and tools for clear and consistent communication within the Mississippi Division of Medicaid. Designed to keep team members informed and aligned

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Understanding Targeted Case Management (TCM) in Connecticut

Targeted Case Management (TCM) in Connecticut is a set of services aimed at assisting individuals with serious chronic mental illness, including substance use disorders. TCM providers play a crucial role in helping clients access medical, clinical, social, and educational services to enhance their q

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Overview of Medicaid Administrative Claiming (MAC) for NWD/ADRC Presentation

This presentation template is designed to engage state-level partners, such as Medicaid agencies and aging units, in understanding the benefits of Medicaid Administrative Claiming for the NWD System. It covers the infrastructure development, Medicaid agency's role, and addresses questions and concer

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Medicaid Mental Health Rehabilitation Program Enhancements Overview

Medicaid's Mental Health Rehabilitation (MHR) program underwent significant enhancements, spearheaded by a collaborative effort involving MHR providers, Managed Care Organizations (MCOs), and legislative bodies in Louisiana. The reforms aimed to refine services like Community Psychiatric Supportive

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Importance of Medicaid in Jails: Enhancing Healthcare Access

State Health Partners focuses on improving healthcare access for individuals with limited resources or complex needs, especially within the context of Medicaid and jails. Medicaid plays a crucial role in supporting jails to provide healthcare services, impacting cost savings, improved health outcome

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Medicaid Coverage Expansion Initiatives in the District of Columbia

The Department of Health Care Finance in the District of Columbia plays a crucial role in administering various public health insurance programs, including Medicaid. With a vision to provide necessary support to all residents for active engagement in their health, the department focuses on improving

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Accessing Healthcare for Children: Important Information on Medicaid Programs

Learn about accessing healthcare for children through important Medicaid programs such as Early and Periodic Screening, Diagnostic and Treatment (EPSDT), Ohio's Medicaid in Schools Program, and Disability Rights Ohio's Medicaid Pro Bono Program. Disability Rights Ohio is a non-profit organization ad

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Post Award Fiscal Compliance: Who We Are and What We Do

Post Award Fiscal Compliance (PAFC) assists campus and central administrative units in mitigating non-compliance risks with sponsor terms and conditions by monitoring compliance, interpreting award requirements, providing training, and enhancing internal controls. The team includes Matt Gardner, Ass

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Medicaid Coverage for Postpartum Women and Doulas - Learning Session Overview

Explore how state Medicaid programs are extending postpartum coverage for women beyond the standard 60-day period and paying for doula services. Learn about current policies, options for coverage extensions, and legal mechanisms at the state level. Discover efforts to improve maternal health outcome

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Expanding Medicaid: West Virginia's Healthcare Landscape

The Affordable Care Act (ACA) and its impact on Medicaid expansion in West Virginia is examined, focusing on benefits for low-income individuals. The Supreme Court's ruling on the ACA and Medicaid extension options for the state are discussed, emphasizing the need for careful consideration in light

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Delaware Division of Medicaid: Unwinding from COVID-19 Public Health Emergency

Delaware Division of Medicaid and Medical Assistance (DMMA) is preparing to transition back to typical operations post the COVID-19 Public Health Emergency. The plan includes communication strategies, efficient workload management, and reducing the risk of coverage loss. Goals focus on member/stakeh

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Understanding the Impact of Medicaid Expansion in Colorado

Delve into the implications of Medicaid expansion in Colorado, exploring the significant changes in healthcare coverage and costs. Gain insights into the evolving landscape of Medicaid and its effects on local communities and patients.

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Analysis of Medicaid Patient Demographics and Opioid Prescriptions

Data gathered from the Medicaid data warehouse from October 2014 to September 2015 reveals demographics of Medicaid patients receiving opioids in terms of age groups, race, gender, and region. The information includes percentages of patients in each category, such as age ranges, racial backgrounds,

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Understanding Tricare Insurance Identification for Medicaid Recipients in New Hampshire

New Hampshire Department of Health & Human Services utilizes the PARIS Federal File to identify Tricare insurance for Medicaid recipients, including information on the history, background of the Federal File, and determining Tricare eligibility through DEERS. By participating in quarterly matches, N

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Impact of State Medicaid Expansions on Mortality and Access to Care Among Adults

The study explores the effects of state Medicaid expansions on all-cause mortality, insurance coverage, access to care, and self-reported health among adults. By comparing states that expanded Medicaid to those that did not, the research aims to shed light on the impact of such policy decisions.

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Analysis of Medicaid in Erie County 2016

An analysis of statistical data on Medicaid in Erie County from January 1, 2016, to October 31, 2016, highlighting the program's administration, funding adjustments, mandatory and optional services, and the significance of the New York State Medicaid Data Warehouse.

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The Impact of Retiree Health Costs on Medicare and Medicaid Programs

This content discusses how retiree health costs affect individuals and government programs, specifically focusing on the rising Medicare and Medicaid spending projections. It highlights the challenges posed by out-of-pocket expenses for retirees and the gaps in Medicare coverage that contribute to h

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Medicaid Coverage Gap Impact in Non-Expansion States

The coverage gap in states without Medicaid expansion affects approximately 28.5 million uninsured nonelderly individuals, with the majority being low-income adults and people of color. The Medicaid expansion under the ACA aimed to fill long-standing gaps in coverage but became a state option due to

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Understanding HIP 2.0: Replacing Traditional Medicaid for Indiana Residents

HIP 2.0 is a program in Indiana that replaces traditional Medicaid for non-disabled adults aged 19-64 with incomes under 138% of the federal poverty level. It offers three pathways to coverage - HIP Link, HIP Plus, and HIP Basic. Eligible individuals get access to enhanced benefits including dental

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Understanding DMEPOS and Medicaid Coverage for Medical Equipment

Learn about Durable Medical Equipment, Prosthetics, Orthotics, and Disposable Medical Supplies (DMEPOS) covered by Nevada Medicaid, including medical necessity criteria. Explore the regulations, coverage areas, and resources available to ensure compliance with DHCFP policies for reimbursement.

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Medicaid Program Expenditure Analysis August 2022

Analysis of Medicaid program expenditures in August 2022 reveals interesting insights. Total enrollees in August 2022 were 1,358,275 with total expenditures amounting to $304,664,691.2. The report delves into expenditure distribution across various services, top drug classes per fiscal year, and Med

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Understanding Medicaid Fair Hearings in Texas

Learn about what to expect at a Medicaid Fair Hearing in Texas, including your rights as a beneficiary, the basics of the hearing process, and what you should have with you. You'll get insights on the rules, the hearing procedure, and the importance of testimony, as well as tips on how to navigate t

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Medicaid Program Overview: Maternal and Infant Advocacy

This event features a presentation by Gretchen Hammer from the Public Leadership Group on Medicaid program structure and design elements, focusing on maternal and infant advocacy. Learn about eligibility criteria, available benefits, care providers, delivery systems, payment mechanisms, and quality

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State of Hawaii Department of Human Services Weekly Data Update: May 17, 2021

The latest update from the State of Hawaii Department of Human Services reveals significant increases in weekly applications received by county, particularly since the start of the pandemic. The data also highlights the rise in Medicaid applications and enrollments, showcasing the impact on various

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Understanding the HCBS Setting Requirements in Medicaid

The Home and Community Based Settings Final Rule, effective since March 17, 2014, outlines requirements for where and how services are provided to individuals under a Medicaid home and community-based waiver. Compliance with the rule is essential for both existing and new settings to ensure proper c

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