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CareStar has provided case management services since 1988 in various mid-western states, predominantly in Ohio and Indiana.In 2004, CareStar signed a five-year, $140 million contract with the Ohio Department of Job and Family Services to provide case management services for its medicaid waiver homecare program.
Home and Community-Based Services waivers (HCBS waivers) or Section 1915(c) waivers, 42 U.S.C. Ch. 7, § 1396n §§ 1915(c), are a type of Medicaid waiver.HCBS waivers expand the types of settings in which people can receive comprehensive long-term care under Medicaid.
Section 1115 Research & Demonstration Projects: States can apply for program flexibility to test new or existing approaches to financing and delivering Medicaid and CHIP. Section 1915(b) Managed Care Waivers: States can apply for waivers to provide services through managed care delivery systems or otherwise limit people's choice of providers.
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 ...
In 1981, Congress enacted legislation allowing Medicaid funding for LTSS through programs such as the Home-and Community-Based Services (HCBS) waiver program that provides supports for people to live in their communities and that promotes increased opportunities for choice and control (42 U.S.C. Ch. 7, § 1396n §§.) States have refocused ...
Before Kentucky’s adoption of the Affordable Care Act, counseling for drug addicts was not covered by Medicaid. “It takes time to respond and build up,” explained Dr. John Langefeld, the medical director for the state’s Medicaid services. Addicts going outside Medicaid face potentially prohibitive costs.
By 2010, the company was the third largest Medicaid HMO in the country, with $2.5 billion in revenue and 800,000 members across Ohio and Michigan. [12] In 2010, CareSource announced expansion of its provider network in Southeastern Ohio through a partnership with Quality Care Partners (QCP), a physician-hospital organization (PHO).
Medicaid estate recovery is a required process under United States federal law in which state governments adjust (settle) or recover the cost of care and services from the estates of those who received Medicaid benefits after they die. By law, states may not settle any payments until after the beneficiary's death.