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Primary Care Case Management (PCCM) is a system of managed care in the US used by state Medicaid agencies, in which a primary care provider is responsible for approving and monitoring the care of enrolled Medicaid beneficiaries, typically for a small monthly case management fee in addition to fee-for-service reimbursement for treatment. [1]
The California Medical Assistance Program (Medi-Cal or MediCal) is the California implementation of the federal Medicaid program serving low-income individuals, including families, seniors, persons with disabilities, children in foster care, pregnant women, and childless adults with incomes below 138% of federal poverty level.
In the United States, Medicaid is a government program that provides health insurance for adults and children with limited income and resources. The program is partially funded and primarily managed by state governments, which also have wide latitude in determining eligibility and benefits, but the federal government sets baseline standards for state Medicaid programs and provides a ...
Partnership HealthPlan of California, is an independent, public/private organization serving over 950,000 Medi-Cal beneficiaries in 24 northern California counties: Butte County, Colusa County, Del Norte County, Humboldt County, Glenn County, Lake County, Lassen County, Marin County, Mendocino County, Modoc County, Napa County, Nevada County, Placer County, Plumas County, Shasta County, Sierra ...
Federal funding covers a variable portion of at least half of Medicaid costs, [35] and states are expected to cover the remainder. This means that any federally mandated increase in Medicaid spending forces states to spend more. [36] However, as state participation in Medicaid is voluntary, it is not technically an unfunded mandate. [37]
Out of 50 state governors, 43 support CHIP renewal. [28] Some states have incorporated the use of private companies to administer portions of their CHIP benefits. These programs, typically referred to as Medicaid managed care , allow private insurance companies or health maintenance organizations to contract directly with a state Medicaid ...
For a county CCS program the funding source is a combination of appropriations from the county, state general funds and the federal government. [1] California is required to spend 30% of funds from its Title V Maternal and Child Health Block Grant on children with special health care needs, thus a portion of these federal funds go to the CCS program.
A Katie Beckett waiver or TEFRA waiver is a Medicaid waiver concerning the income eligibility for home-based Medicaid services for children under the age of nineteen. Prior to the Katie Beckett waiver, if a child with significant medical needs received treatment at home, the child's income would be deemed to include the parents' entire ...