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The health plans then enroll eligible individuals into their programs and become responsible for assuring CHIP benefits are delivered to eligible beneficiaries. In Ohio, CHIP funds are used to expand eligibility for the state's Medicaid program. Thus all Medicaid rules and regulations (including cost sharing and benefits) apply.
In some states, CHIP is administered as part of the Medicaid program (referred to as Medicaid expansion states) and the covered children are eligible for EPSDT benefits. In other states, CHIP may be administered by the state and designed similar to Medicaid but not provide full EPSDT coverage, or CHIP may be administered as a private plan ...
In the Washington, D.C. metropolitan area, plans open to all federal employees and annuitants include 10 fee-for-service and PPO plans, seven HMOs, and eight high-deductible and consumer-driven plans. [4] In the FEHB program the federal government sets minimal standards that, if met by an insurance company, allows it to participate in the program.
Many U.S. cities are allowed to participate in the pension plans of their states; some of the largest have their own pension plans. The total number of local government employees in the United States as of 2020 is 14.3 million. There are 11.1 million full-time and 3.1 million part-time local-government civilian employees as of 2020. [16]
Without a waiver, able-bodied adults would have to work at least 20 hours a week or spend the equivalent time in a workforce development program.
All private health insurance plans offered in the Marketplace must offer the following essential health benefits: ambulatory care, emergency services, hospitalization (such as surgery), maternity and newborn care, mental health and substance abuse services, prescription drugs, rehabilitative and habilitative services (services to help people ...
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