Posts tagged: Medicaid

dental medicaid reimbursement fee schedule georgia

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By , July 12, 2015 11:41 am
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  • dental medicaid reimbursement fee schedule georgia

    http://www.dentaquest.com/getattachment/State-Plans/Regions/Georgia/GA-Dentist-Page/440795_2_0_GA-Medicaid-675_August-14,-2014.pdf/
    DentaQuest of Georgia, LLC
    Aug 14, 2014 … Communicate with patients, including Members regarding dental treatment
    options. 2. … Provider intends to charge the Member for such a non-compensable
    service. 7. … Member Transportation – Peach State Health Plan . …… Georgia
    Medicaid will provide you with a ride to and from healthcare services.

    http://www2.aap.org/oralhealth/docs/OHReimbursementChart.pdf
    State Medicaid Payment for Caries Prevention Services by Non …
    This table presents the results of a survey conducted by the American Academy
    of Pediatrics in … or dental. Medicaid/CHIP dollar? Please specify. In what year
    did. Medicaid begin to reimburse? Was it necessary to get legislative approval to
    … Fee for service. & managed care organizations. Medical. 2008. No. Georgia.

    https://www.vtmedicaid.com/Downloads/manuals/Dental%20Supplement%2012-1-2014.pdf
    Dental Supplement – VT Provider home page
    Dec 1, 2014 … and Families (DCF) office for a General Assistance (GA) Voucher. If a member …
    procedure rate reflected in the Medicaid dental fee schedule.

    https://www.lamedicaid.com/provweb1/Billing_Information/CodingPolicyFeeRevision101805.pdf
    medicaid dental programs coding, policy and related fee
    for Pregnant Women (EDSPW) Program revised fee schedules are located at the
    … The provider should bill Medicaid for oral/facial photographic images ONLY …

    https://www.avesis.com/pdf/Generic_Medicaid_Dental_Provider_Manual_KY_Supplement_101011.pdf
    Dental Provider Manual – Avesis
    Throughout your ongoing relationship with Avesis, this Dental Provider Manual
    will provide you with …… Does Avesis pay on a Fee for Service Schedule? Yes.

    http://healthyfuturega.org/pdfs/Medicaid%20Redesign%20Coalition%20FINAL%20010412%20-%20white%20paper.pdf
    Georgia Families Program – Georgians for a Healthy Future
    However, over the past five years, Medicaid providers have consistently asserted
    … 2 Derived from the FY 2012 Aon Hewitt actuarial rate ranges for the Georgia ….
    In an analysis of dental reimbursement fees from June 1, 2006 to the present, …

    http://www.aapd.org/assets/1/7/Periodicity-DentalGuide.pdf
    Guide to Children's Dental Care in Medicaid – American Academy of …
    approaches to dental care delivery, and in the Medicaid program itself. These ….
    pediatricians and nurse practitioners, as well as dental providers. … a lifetime of
    positive oral health and dental care experiences can be built, thus minimizing
    costs … or states may adopt a nationally recognized dental periodicity schedule.

    http://www.nhsc.hrsa.gov/downloads/discountfeeschedule.pdf
    Discounted/Sliding Fee Schedule – NHSC – HRSA
    Mar 1, 2015 … medical, dental, and/or behavioral health care to all regardless of ability to pay. …
    schedule of fees for services; (2) a corresponding schedule of …

    http://www.chcf.org/~/media/MEDIA%20LIBRARY%20Files/PDF/M/PDF%20MediCalFeeComparison.pdf
    Medi-Cal Physician and Dentist Fees: A Comparison to Other …
    Apr 2, 2009 … Even the more generous Medicaid dental fees lag behind commercial … the
    state's fee schedule online, when available, or surveying the state ….. Georgia.
    1.21. 22. 1.23. 22. 90%. 23. Hawaii. 1.04. 34. 0.99. 37. 73%. 38. Idaho.

    http://www.nachc.com/client//2011%20PPS%20Report%20SPR%2040.pdf
    Update on the Status of the FQHC Medicaid Prospective Payment
    included in the table. • 6 states are not included in the survey: Alaska, Florida,
    Georgia, Iowa, … While the PPS establishes a Medicaid per visit payment rate
    floor, it does not require states to … 14 states have a medical rate, 22 dental, and
    8.

    http://www.markmerlis.com/RL32644.pdf
    Medicaid Reimbursement Policy – Merlis, Mark
    Oct 25, 2004 … Medicaid reimbursement policies play a central role in determining … Payment
    rates for other kinds of providers, such as physicians or dentists, … It also
    explores some of the critical issues affecting Medicaid payments rate setting. …..
    Georgia. Non-emergency transportation. Kentucky. Non-emergency …

    http://www.tapartnership.org/docs/obtainingMedicaidFunding.pdf
    How to Obtain Medicaid Funding for School-Based Services: A …
    Schools in states that reimburse on a fee-for-service basis may be reimbursed for
    some or … Table 1: Practical Considerations for Obtaining Medicaid
    Reimbursement Through. Fee-for-Service ….. Dental services, including pain
    relief ….. Georgia. Georgia Department of Community Health. 2 Peachtree Street,
    NW. Atlanta …

    http://www.nga.org/files/live/sites/NGA/files/pdf/2014/1401DentalHealthCare.pdf
    The Role of Dental Hygienists in Providing Access to Oral Health Care
    out treatment.4 Furthermore, the rate of tooth decay …. 18 Medicaid–CHIP State
    Dental Association and Centers for Medicare and Medicaid Services, …..
    Economics, letter to Randall Vaughn, Division Director, Georgia Secretary of
    State, …

    https://oig.hhs.gov/oei/reports/oei-09-93-00240.pdf
    Children's Dental Services Under Medicaid – Access and Utilization …
    (4) issue schedules specifying the desired frequency of medical, dental, vision,
    and ….. the participation rate among dentists and the impact this has on Medicaid
    …. For example, Georgia legislators introduced a proposal to authorize State tax.

    http://www.cmspulse.org/resource-center/health-topics/diabetes/documents/DSME-Toolkit.pdf
    (DSME) Reimbursement Toolkit – The CMS Health Disparities Pulse …
    for Medicare & Medicaid Services (CMS), an agency of the U.S. Department of
    Health and Human Services. The contents …. All-Inclusive Reimbursement Rate.
    CDC. Centers for ….. Foot, skin, and dental care ….. Atlanta, GA. 3. American …

    http://www.astdd.org/bestpractices/DES12006GAsbdsprogram_1_2014.pdf
    Georgia's State School-based Dental Sealant Program
    The Georgia Oral Health Prevention Program (GOHPP) provides funds to support
    the School-Based … at return visits the retention rate of the sealants is assessed.
    …. the Medicaid and (SHIP) Peach Care for kids reimbursement contract.

    http://www.hfni.com/assets/WellCare_Provider_Manual_2012.pdf
    Medicare Advantage Provider Manual – Health First Network
    programs, focused on Medicaid and Medicare, including prescription drug plans
    … A paper copy, at no charge, may be … As a Medicare Advantage (MA) plan,
    coverage includes all of the benefits … Routine dental, vision and hearing
    benefits; and … Connecticut ▫ Florida ▫ Georgia ▫ Illinois ▫ Louisiana ▫ Missouri ▫
    New Jersey …..

    https://www.georgia-families.com/GASelfService/pdfs/Eng/swcmochart.pdf
    Choosing your Health Plan – Georgia Families
    How can you choose a Health Plan? In Georgia Families, you will get all the
    health services that you get now as a member of Medicaid or PeachCare … Visit
    www.georgia-families.com, or call the providers or … Dental benefits for children
    and pregnant women … •$75 allowance toward the cost of non-standard glasses.

    http://www.adha.org/resources-docs/75118_Facts_About_the_Dental_Hygiene_Workforce.pdf
    Facts about the Dental Hygiene Workforce in the United States …
    Dental Hygienists are Primary Providers of Oral Health Care Services …
    Wisconsin) recognize and reimburse hygienists as Medicaid providers.5 …
    quality of care and reduced costs of care. …. 4 American Dental Hygienists'
    Association, Direct Access States Chart, Chicago, IL, 2013. … Atlanta, GA: U.S.
    Department of.

    https://www.deltadentalins.com/group_sites/gov/ut/medicaid/downloads/provider-manual.pdf
    utah medicaid dental services program – Delta Dental Insurance
    Dec 2, 2013 … www.deltadentalins.com/ut-medicaid/ i v. 12/2/2013. Table of Contents. Welcome
    . Introduction. Section 1: Provider Support Services. Provider … Member Plan
    Options . …. Cost Sharing Provisions . …… Alpharetta, GA 30023.

    diabetic test strips coverage medicaid il

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    By , July 9, 2015 8:46 am
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  • diabetic test strips coverage medicaid il

    http://www.bcbsil.com/mmai/pdf/mmai_drug_list_il.pdf
    Drug List – Blue Cross and Blue Shield of Illinois
    Feb 2, 2015 … Illinois Medicaid to provide benefits of both programs to enrollees. ….. strips blood
    glucose testing monitor. $0 (3) blood pressure testing monitor.

    https://www.medicare.gov/Pubs/pdf/11461.pdf
    to Medicare's Durable Medical Equipment … – Medicare.gov
    If I have Medicaid and Medicare, will Medicaid cover an item I get from a non-
    contract supplier … What do I need to know if I buy diabetic supplies, like test
    strips or lancets? . . 19. What do I …. Chicago-Joliet-Naperville, IL-IN-WI.
    Columbus, OH.

    https://www.medicare.gov/Pubs/pdf/11022.pdf
    Medicare's Coverage of Diabetes Supplies & Services – Medicare.gov
    C E N T E R S F O R M E D I C A R E & M E D I C A I D S E R V I C E S ….
    This booklet explains Medicare coverage of diabetes supplies and services in.

    https://www.unitedhealthcareonline.com/ccmcontent/ProviderII/UHC/en-US/Assets/ProviderStaticFiles/ProviderStaticFilesPdf/Tools%20and%20Resources/Policies%20and%20Protocols/UnitedHealthcare%20Medicare%20Coverage/Diabetes_Management_UHCMA_CS.pdf
    Diabetes Management, Equipment and Supplies
    Oct 21, 2014 … UHC MA Coverage Summary: Diabetes Management, Equipment and Supplies
    …. Blood-testing strips, lancets, and other diabetic supplies are covered …
    Services for the states of IL, IN, KY, MI, MN, OH, WI) …. Medicare and Medicaid
    Services (CMS) determines that the evidence is adequate to conclude …

    https://www.primetherapeutics.com/Files/3833_PrimePerspective_4Q2014.pdf
    Quarterly Pharmacy Newsletter from Prime – Prime Therapeutics
    drug event (PDE), to the Centers for Medicare and Medicaid Services (CMS) on a
    regular basis. … Participating Pharmacy is expected to manage the Covered
    Person refunds. Prime's …. Effective January 1, 2015, glucose test strips from
    Bayer Diabetes … Health Care Service Corporation (HCSC) in Illinois, Montana,.

    http://www.nd.gov/dhs/services/medicalserv/medicaid/docs/pharmacy/trpp-pharmacist-edu-and-faqs.pdf
    Medicaid Tamper-Resistant Prescription Requirements FAQs for …
    pharmacy benefits are paid by a Managed Care Organization (MCO). However,
    there are exceptions to this rule in Illinois and in few plans in California. …
    prosthetics, orthotics, and supplies (DMEPOS) supplies, such as diabetic testing
    strips?

    http://www.isletsofhope.com/pdf/diabetes-assistance-programs.pdf
    Assistance Programs for – Islets of Hope
    Medicare now includes coverage for glucose monitors, test strips, and ….. could
    include applying for Illinois Medicaid, Kid Care or Family Care programs, Illinois …

    http://diabetes.niddk.nih.gov/dm/pubs/financialhelp/financialhelp_508.pdf
    Financial Help for Diabetes Care – National Diabetes Information …
    of health care for a person without diabetes.1 … Medicare, Medicaid, the
    Children's …. receive these covered services and supplies. ….. Chicago, IL 60606
    .

    http://www.statecoverage.org/files/UHF-MedciadRxManagementJuly2011.pdf
    Medicaid Prescription Drugs: Purchasing and Management
    Medicaid Institute also develops and tests innovative ideas for … state Medicaid
    programs offer certain basic benefits, each state program determines the extent
    to which it …. Connecticut, Delaware, Illinois, Indiana, Iowa,. Missouri …… durable
    medical equipment, most often diabetic supplies such as meters and test strips.

    http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/downloads/SE1008.pdf
    Medicare Coverage of Blood Glucose Monitors and Testing Supplies
    Jan 26, 2015 … Medicaid Services (CMS) to remind providers what blood glucose self- … Blood
    glucose self-testing equipment and supplies are covered for all …

    http://www.maxor.com/HHP_MDC_Formulary.pdf
    14Q2b Medicaid Formulary.indd – Maxor
    … of medicaƟons covered for Medicaid recipients managed under the Hudson
    Health Plan Program. … coverage as part of this program please contact Hudson
    Health Plan directly at. 1-800-339-4557 or …… Endocrine, Diabetes Testing;
    Insulin Syringes, etc.: Rx and OTC … ACCU-CHEK TEST STRIPS (ALL). Non-
    preferred …

    http://www.hsidn.org/uploads/2/9/9/5/29951063/2014_diabetes_resource_guide.pdf
    Diabetes Resource Guide – Healthy Southern Illinois Delta Network
    Glucose Tolerance Test (blood glucose is measured after a fast and then 2 ….
    accept Illinois Medicaid or who have sliding fees or discount programs. Franklin
    …. health insurance coverage based on a pre-existing condition like diabetes.
    There is …… lancet, one places a drop of blood on a test strip in the machine. The
    meter …

    http://chfs.ky.gov/NR/rdonlyres/30622FDD-A698-474A-BF72-6A389B2C3F0E/0/KentuckyDiabetesConnectThirdQuarter2010.pdf
    KENTUCKY DIABETES STATE PLAN DEVELOPMENT
    Sep 21, 2010 … … supplies and their coverage by medicaid … Beginning October 5, 2010, the
    diabetic supplies listed below will be …. Insurance coverage is inconsistent.
    Patients who …… southeastern IL, meets quarterly from 10±2 pm cst.

    https://www.wellcare.com/WCAssets/corporate/assets/ccg/hs_ccg_diabeteseducation_eng_08_2014.pdf
    Diabetes Education and Screening REVISED August 2014 – WellCare
    WellCare Health Insurance of Illinois, Inc. WellCare Health Plans … Services (
    CMS). National and Local Coverage Determinations and state-specific Medicaid
    mandates, if any. … A fasting plasma glucose test to check for diabetes for people
    at risk. Risk factors for ….. 82947 Glucose; quantitative, blood (except reagent
    strip).

    https://www.cccpp.org/CPP/files/99/99b19bea-d0eb-428f-ada9-18ff0954455d.pdf
    You pay nothing – Cleveland Clinic Community Physician Partnership
    Dec 4, 2014 … Exam. Diabetic supplies. Formulary Changes. Lorain County Expansion ….
    services, refer to the Medicaid Coverage section in this document.

    http://www.myamerigroup.com/Medicare2015/Documents/TXTX_SNP_SB_ENG.pdf
    Summary of Benefits for Amerivantage Specialty + Rx … – Amerigroup
    Oct 1, 2014 … services, refer to the Medicaid Coverage section in this document. Your yearly …
    Diabetes monitoring supplies: You pay nothing. Diabetes …

    http://www.cctexas.com/Assets/Departments/Health/Files/resourcelist.pdf
    Texas Diabetes Prevention and Control Program Texas Department …
    Resources for Individuals with Diabetes. Updated August 2, 2010. Page 1 of 25 …
    Supplies for checking Feet . ….. Medicaid benefits do not qualify for this program.
    If you qualify, you can …. Schaumburg, IL 60173-4557. 1-800-331-2020.

    http://www.psych.uic.edu/docassist/HFS%20PDL%20Oct%202011.pdf
    Illinois Medicaid Program
    Illinois Medicaid. October 1, 2011. Changes are …. Smartest Talking Meter (
    Progressive HEA) … Diabetes acarbose. Actos. Avandia chlorpropamide
    glimepiride glipizide …. We cover most generics in these classes. In order to
    check the prior …

    http://www.cigna.com/iwov-resources/medicare-2015/docs/h1415-005-cigna-healthspring-totalcare-dsnp-anoc.pdf
    HMO SNP – Cigna
    … and with select State. Medicaid programs. … Medicare allows you to change
    your Medicare health and drug coverage. ….. Getting Help from Illinois
    Department of Healthcare and Family Services . ….. every 2 years and 100
    glucose test strips.

    https://dph.georgia.gov/sites/dph.georgia.gov/files/related_files/site_page/financialhelp_508%20for%20persons%20with%20diabetes.pdf
    Financial Help for Diabetes Care – Georgia Department of Public …
    covered services and supplies. Medicare Part B helps pay for. • diabetes
    screening tests for people at risk of developing diabetes. • diabetes self-
    management …

    colorado medicaid redtermination

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    By , July 4, 2015 11:29 am
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  • colorado medicaid redtermination

    http://medicaid.gov/federal-policy-guidance/downloads/cib-06-14-2013.pdf
    Annual Re-determination of Medicare Part D Low … – Medicaid.gov
    Jun 14, 2013 … redetermination of Medicare Part D low-income subsidy (LIS) … to help them pay
    for their Medicare prescription drug plans' premiums, co-.

    http://www.medicaid.gov/CHIP/Downloads/CO/CO-CSPA-13-Pending.pdf
    COLORADO DEPARTMENT OF HEALTH CARE … – Medicaid.gov
    Dec 31, 2012 … 1570 Grant Street, Denver, CO 80203-1818 • (303) 866-2993 • (303) ….
    opportunity at initial enrollment and at each redetermination of eligibility …

    http://www.dads.state.tx.us/providers/HHSCMEReferenceGuid.pdf
    HHSC Medicaid Eligibility — Reference Guide – Texas Department of …
    high-level information to providers regarding eligibility for Medicaid. …. Appendix
    III: Redetermination Envelope Examples . …. Co-payment amounts.

    http://medicaid.gov/federal-policy-guidance/downloads/cib-01-23-2015.pdf
    CIB: Enrollment and Retention Flexibilities to Better … – Medicaid.gov
    Jan 23, 2015 … States also have multiple tools to streamline the redetermination process, …
    estate recovery for MSP benefits, i.e., premium, deductible, and co- …

    http://csgjusticecenter.org/wp-content/uploads/2013/12/ACA-Medicaid-Expansion-Policy-Brief.pdf
    Medicaid and Financing Health Care for Individuals Involved with …
    in North Carolina and Colorado, are discussed in more … Medicaid
    redetermination—Federal policy requires that an individual's eligibility for
    Medicaid be.

    http://www.dss.state.va.us/form/pdf/032-03-091.pdf
    application/redetermination for medicaid for ssi recipients – Virginia …
    AGENCY USE ONLY. CASE NAME. LOCALITY. COMMONWEALTH OF
    VIRGINIA. DEPARTMENT OF SOCIAL SERVICES. APPLICATION/
    REDETERMINATION …

    https://www.cms.gov/Medicare/Appeals-and-Grievances/MedPrescriptDrugApplGriev/downloads/partdmanualchapter18.pdf
    Medicare Managed Care Manual – Centers for Medicare & Medicaid …
    20.2.2 – Co-Payment Complaints … 70.4 – Withdrawal of Request for
    Redetermination … 70.7.2 – Dismissal of a Standard Pre-Benefit Redetermination.

    https://www.colorado.gov/pacific/sites/default/files/2011%20Agency%20Letters%20Number%2011-014.pdf
    11-014 – Colorado.gov
    Colorado Department of Health Care Policy and Financing HCPF 11-014 …
    requires a redetermination of eligibility for Medicaid in order to receive the
    mandated …

    https://www.colorado.gov/pacific/sites/default/files/2011%20Agency%20Letters%20Redetermination%20Notice%2011-011.pdf
    Redetermination Notice Dear [4], It is time to see if … – Colorado.gov
    Redetermination Notice. Dear [4],. It is time to see if you … have to pay back
    medical payments paid by Medicaid if you are not eligible for benefits. Section I:
    Your …

    https://www.colorado.gov/pacific/sites/default/files/Aged,%20Blind%20and%20Disabled%20Medical%20Assistance%20User%20Desk%20Referencence%20Guide.pdf
    Aged, Blind and Disabled Medical Assistance User … – Colorado.gov
    Colorado has agreed to make the eligibility criteria for the Aged, Blind and …. At
    application and redetermination, Medicaid eligibility shall be determined using …

    http://aspe.hhs.gov/daltcp/reports/2014/PSHprimer.pdf
    A Primer on Using Medicaid for People Experiencing … – ASPE
    Jul 23, 2014 … Medicaid State Plan Optional Behavioral Health Benefits– ….. observed
    developments in six states and communities: California/Los Angeles, Connecticut
    , the …… redetermination process and rely on electronic verification of …

    http://illinoisaap.org/wp-content/uploads/05-IL-Medicaid-Information-Brochure1.pdf
    Medicaid Information Brochure
    Medicaid as a Second Language (guide to Medicaid terms, acronyms and ….
    Levels 1-8, parents pay monthly premiums and co-pays on a sliding fee scale, …
    People applying for the first time, or undergoing their first redetermination, will.

    http://www.nhchc.org/wp-content/uploads/2011/09/Kaiser-Medicaid-enroll-regs-Oct-2011.pdf
    Medicaid Eligibility, Enrollment Simplification, and Coordination …
    Medicaid Services (CMS) issued a proposed rule to implement the ACA … does
    not propose to extend the changes in the redetermination process to ….. to be co-
    located at the Exchange or other accommodations may be necessary to both.

    https://coloradopeak.secure.force.com/resource/1425814950000/StaticPdfs_HomePage/HomePage/PeakNews.pdf
    PEAK NEWS – Colorado PEAK
    Mar 18, 2015 … Redetermination Process for Food Assistance Clients … PEAK fields as well as
    the Medical Assistance Notice of Action for these programs.

    http://www.coloradolegalservices.org/lawhelp/resource/new-citizenship-id-rules-for-medicaid/download/37382310-A44E-9CBC-382E-6BBFC5E57D59.pdf
    New ID Requirements for Medicaid – Colorado Legal Services
    Starting July 1, 2006, Medicaid will require all recipients to show an ID that
    proves their … o Current recipients at your redetermination. ❖ You can use your.

    http://www.oregon.gov/oha/OHPR/MAC/Documents/2014%20MAC%20Churn%20Report.pdf
    Oregon Medicaid Advisory Committee – Oregon.gov
    Aug 5, 2014 … Co-Chair, Medicaid Advisory Committee. Co-Chair …. Adopt Transparent OHP
    Eligibility, Enrollment and Redetermination Performance.

    http://info.dhhs.state.nc.us/olm/forms/dma/dma-5007.pdf
    DMA-5007 to – NC DHHS Online Publications – Home
    AND DISABLED REDETERMINATION DOCUMENT. Day. Mo. Yr. Co. Case # …
    the following information about the person(s) whose Medicaid eligibility is being …

    http://connectforhealthco.com/wp-content/uploads/2013/04/Comment-on-2015-Standards.pdf
    To: The Board of Directors, Connect for Health Colorado From …
    Apr 17, 2014 … appreciates the opportunity provided by the Centers for Medicaid and …
    redetermination to an earlier date, Connect for Health Colorado …

    http://www.chcs.org/media/Churn_1_30_2014_final.pdf
    Minimizing Care Gaps for Individuals Churning between the …
    Jan 30, 2014 … Marketplace and Medicaid: Key State Considerations. By Veronica …. Colorado,
    Oregon, and Rhode Island have decided to allow …. individuals fall off the
    Medicaid program at redetermination.11 Under the ACA, states have.

    http://www.bouldercounty.org/doc/hhs/med9form.pdf
    COLORADO DEPARTMENT OF HUMAN SERVICES – Boulder County
    In order to establish eligibility or redetermination eligibility for this program, it is
    necessary to …. Disabled (AND) program provides financial benefits to Colorado
    residents who are disabled. This form is used … Medicaid disability determination
     …

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