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The Medicaid "unwinding" that began after eligibility checks resumed this year led millions of people to lose coverage. Texas has the most disenrollments.
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Texas children are at risk of losing COVID-era Medicaid coverage prematurely. The Texas Health and Human Services should reconsider its strategy.
2.6 million were in the "coverage gap" due to the 19 states that chose not to expand the Medicaid program under the ACA/Obamacare, meaning their income was above the Medicaid eligibility limit but below the threshold for subsidies on the ACA exchanges (~44% to 100% of the federal poverty level or FPL); 5.4 million were undocumented immigrants;
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 ...
Even with that coverage, she will have to find a new provider after Superior HealthPlan, the most popular Medicaid company in Central Texas, soon becomes no longer be able to provide services in ...
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 Texas Health and Human Services Commission, which operates these programs — called STAR and CHIP — shocked many pediatric providers in Tarrant County in March when it decided not to award ...