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southcarolinablues.com. BlueCross BlueShield of South Carolina (BlueCross) is an independent licensee of the Blue Cross and Blue Shield Association. [1] BlueCross serves 21.5 million people through private business and government contracts. [2] BlueCross has several subsidiaries, two of which are affiliates licensed with the Blue Cross and Blue ...
Overview. Prior authorization is a check run by some insurance companies or third-party payers in the United States before they will agree to cover certain prescribed medications or medical procedures. [1] There are a number of reasons that insurance providers require prior authorization, including age, medical necessity, the availability of a ...
Joseph Bustos. September 16, 2024 at 1:51 PM. Joseph Bustos/jbustos@thestate.com. South Carolina’s Health and Human Services Secretary Robert Kerr is retiring from the job ending his second term ...
South Carolina’s Medicaid enrollment increased by about 30% from February 2020 to May 2023. This increase in enrollment occurred across the country where Medicaid enrollment grew nationally by ...
Creditable coverage" is defined quite broadly and includes nearly all group and individual health plans, Medicare, and Medicaid. [12] A "significant break" in coverage is defined as any 63-day period without any creditable coverage. [13] Along with an exception, it allows employers to tie premiums or co-payments to tobacco use, or body mass index.
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Medicaid is the largest source of funding for medical and health-related services for people with low income in the United States, providing free health insurance to 85 million low-income and disabled people as of 2022; [3] in 2019, the program paid for half of all U.S. births. [4]
e. 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. Prior to the creation of HCBS waivers, comprehensive long-term care ...