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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 federal government serves as the primary funder of FQHCs, [14] providing reimbursement through Medicaid and Medicare for comprehensive primary care services. [11] FQHCs are reimbursed by Medicare on a cost-based system, subject to a per-visit payment cap and productivity standards.
Primary Care Case Management (PCCM), is a program of the United States government healthcare service Medicaid.It oversees the United States system of managed care 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 ...
Many CHCs are already operating at capacity and are unable to accept new patients. CHCs could gain by expanding their non-physician primary care personnel by establishing community outreach clinics in order to satisfy this need and by doing so, CHCs might effectively serve a lot more Medicaid patients. [50]
City/plan. Monthly premium. Health deductible; drug deductible. Out-of-pocket max. PCP visit. Specialist visit. Reno, NV: Aetna Medicare Value Plan (HMO-POS)
Most doctors accept Medicare, but some may have different rules around payment and billing. ... An out-of-pocket cost is the amount a person must pay for medical care when Medicare does not pay ...
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