Medicaid integrity institute - PowerPoint PPT Presentation


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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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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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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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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Understanding Integrity Constraints in Relational Database Systems

Integrity constraints play a crucial role in maintaining the accuracy and integrity of data in a database. They include domain constraints, entity integrity, and referential integrity, each serving a specific purpose to ensure data consistency and reliability. Domain constraints ensure values in a c

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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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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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Academic Integrity Board Game Overview

Academic Integrity Board Game offers a fun and educational approach to understanding academic integrity. The game revolves around values like honesty, trust, fairness, respect, responsibility, and courage, as defined by the International Center for Academic Integrity. Players set up the board, place

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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 Durability and Integrity in Data Storage Systems

Durability and integrity are crucial aspects of data storage systems. Durability ensures data survives faults like crashes and power loss, while integrity ensures data correctness in the face of faults. Disk data is durable due to surviving power loss, and has integrity through explicit and complex

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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 for Long-Term Care Services in Missouri

The Medicaid program administered by the Department of Health and Senior Services in Missouri provides long-term care services for elderly and disabled individuals. The program evaluates participants' needs based on a 21-point count to determine eligibility for nursing home or home and community-bas

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Understanding Medicaid and Your Local Diversion & Transition Team

Learn about Medicaid, important acronyms, when to consider applying, what Medicaid can do, and who should make a referral. Find information on services, eligibility, and how Medicaid can support long-term care needs such as nursing facilities and assisted living. Explore resources for individuals un

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New Adult Dental Services for Virginia Medicaid Members - July 2021 Update

Welcome to the update on the new adult dental services for Virginia Medicaid members effective July 1, 2021. This includes comprehensive benefits based on a preventive, restorative model, provider recruitment, system changes, and member education initiatives. Smiles for Children program, established

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Elder Care in 2023: Medicaid and Estate Planning Overview

Explore the intersection of estate and Medicaid planning for elder care in 2023. Learn about asset and income requirements, Medicaid transfer penalties for nursing home applications, and important changes for the upcoming year. Get valuable insights on protecting assets and navigating Medicaid regul

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Medicaid Reimbursement in School-Based Health Services

This comprehensive resource delves into the intricacies of Medicaid reimbursements for school-based health services, focusing on the Comprehensive School & Community Treatment (CSCT) program. It covers eligibility criteria, methodologies, meeting match requirements, federal regulations, and the proc

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NYS Medicaid Incontinence Supply Management Program Overview

The NYS Medicaid Incontinence Supply Management Program, initiated in August 2016, aims to improve the quality of incontinence products provided to all Medicaid members by establishing minimum quality standards, reducing costs, and maintaining existing provider networks. The program covers a range o

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Medicaid Expenditure Update - Finance Review Presentation March 2020

This presentation provides an overview of the Medicaid expenditure updates to the External Finance Review Council, covering DMAS forecast accuracy, GA funding summary, Medicaid expansion trends, and total Medicaid expenditures for the state fiscal year 2020.

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Medicaid Integrity Institute 2012 Training Conference Overview

The Medicaid Integrity Institute (MII) provides training and technical assistance to state Medicaid program integrity employees at no cost. The institute, established in 2007 by CMS and the US Dept. of Justice, aims to enhance national program integrity standards. Located at the National Advocacy Ce

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Practice Test for Developing Integrity in 4th Grade

This practice test by Renee Cook from Brownsburg, IN, focuses on developing integrity in 4th-grade students. The test includes scenarios where students have to choose the best action reflecting integrity. The test is designed like a dartboard, aiming to find the "bull's-eye" answer that aligns most

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