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Additionally, OHCA actively works with the Office of the Oklahoma Attorney General's Medicaid Fraud Unit to prosecute fraudulent providers. In September 2010, OHCA implemented an online system that uses an "enroll-first, verify-later" approach that automatically renews benefits for existing SoonerCare beneficiaries and enrolls new applicants if ...
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 ...
The Federally Facilitated Marketplace (FFM) is an organized marketplace for health insurance plans operated by the U.S. Department of Health and Human Services (HHS). The FFM opened for enrollments starting October 1, 2013. [1]
The marketplace, implemented in Oklahoma as part of the Affordable Care Act, allows individuals and families to shop for medical insurance plans.
The Oklahoma Hospital Association published a free resource for Oklahoma seniors to navigate choosing a Medicare plan during open enrollment, which goes through Dec. 7.. Rich Rasmussen, the ...
Aug. 16—State officials are warning area residents using Sooner Care to supplement their health care needs that they need to check their eligibility or risk losing coverage. Yearly reenrollment ...
[1] [2] Dual-eligibles make up 14% of Medicaid enrollment, yet they are responsible for approximately 36% of Medicaid expenditures. [3] Similarly, duals total 20% of Medicare enrollment, and spend 31% of Medicare dollars. [4] Dual-eligibles are often in poorer health and require more care compared with other Medicare and Medicaid beneficiaries. [5]
Currently, the Title V law requires that state MCH programs to: assist with coordination of EPSDT, establish coordination agreements for with their State Medicaid programs, provide a toll-free number for families seeking Title V or Medicaid providers, provide outreach and facilitate enrollment of Medicaid eligible children and pregnant women ...