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Keystone First is a medical assistance (Medicaid and Medicare) managed care health plan based in southeastern Pennsylvania. Keystone focuses on low-income residents in southeastern Pennsylvania counties including, Bucks, Chester, Delaware, Montgomery, and Philadelphia. The healthcare provider currently serves over 400,000 residents in the area. [1]
The community health center (CHC) in the United States is the dominant model for providing integrated primary care and public health services for the low-income and uninsured, and represents one use of federal grant funding as part of the country's health care safety net. The health care safety net can be defined as a group of health centers ...
[1] [2] [3] Certificates of need are necessary for the construction of medical facilities in 35 states and are issued by state health care agencies: The certificate-of-need requirement was originally based on state law. New York passed the first certificate-of-need law in 1964, the Metcalf–McCloskey Act.
A community health center is a not-for-profit, consumer directed healthcare organization that provides access to high quality, affordable, and comprehensive primary and preventive medical, dental, and mental health care. Community health centers have a unique mission of ensuring access for underserved, under-insured and uninsured patients.
Physician's News Digest article on Certificates of Medical Necessity; Statutory definition of a CMN at the SSA website; Medicare manual that provides exhaustive information about the practical use of CMNs, particularly section 5.3. This is the official source of information for contractors administering the Medicare system about the use of CMNs.
CHC: combined hormonal contraceptive: CHD: chronic heart disease congenital heart defect coronary heart disease: ChE: cholinesterase: CHEM-7: a group of blood tests, commonly called a basic metabolic panel (blood urea nitrogen, carbon dioxide, creatinine, glucose, serum chloride, serum potassium, serum sodium) CHEM-20
Health Partners Plans was founded in 1984 and is one of the few hospital-owned health maintenance organizations. The organization had been owned jointly by Jefferson Health, Einstein Healthcare Network and Temple University Health System, but Jefferson Health became the sole owner of Health Partners Plans in November 2021.
An eligible person must establish that they have a complex medical condition and substantial and ongoing care needs. [3] The framework replaced PCTs' individual policies for assessing eligibility for continuing care and local care planning and review processes, with the intention that the same criteria would be used throughout England.