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Unlike private insurance, EPSDT is designed to address problems early, ameliorate conditions, and intervene as early as possible. [1] [2] [3] For the 25 million children enrolled in Medicaid and entitled to EPSDT in 2012, the program is a vital source of coverage and a means to improve the health and well-being of beneficiaries.
Medicaid, the federal and state health insurance program for the poor, requires states to provide dental coverage for children but not adults. But with a growing recognition of the economic and ...
Adult dental coverage is an optional benefit in Medicaid, the federal-state health insurance program primarily for low-income Americans. So, each state can decide whether to offer it and which ...
Despite these challenges, children with SHCN fare better than non-affected children in preventative health care and preventative dental care. [3] They have a higher rate of having health insurance than normal children. [2] They more frequently complete the recommended annual primary care visit, and bi-annual dentist visit. [2]
In 1985, Medicaid patients made up 28% of all CHC patients but only 15% of CHC revenues. [5] By 2007, the share of Medicaid patients matched their share of revenues. In the same time period, grants for the uninsured decreased from 51% to 21%. [5] In 2008, Medicaid payments had grown to account for 37% of all CHC revenues. [4]
Medicaid is the largest revenue source for FQHCs, but Medicare offers financial incentives, such as higher per-visit fees compared to non-FQHC providers, making FQHC status attractive. Under the Affordable Care Act, Medicare transitioned to a Prospective Payment System (PPS) in 2014, offering additional payments for preventive services and new ...
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