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  2. CareStar - Wikipedia

    en.wikipedia.org/wiki/Carestar

    CareStar has provided case management services since 1988 in various mid-western states, predominantly in Ohio and Indiana.In 2004, CareStar signed a five-year, $140 million contract with the Ohio Department of Job and Family Services to provide case management services for its medicaid waiver homecare program.

  3. Medicaid estate recovery - Wikipedia

    en.wikipedia.org/wiki/Medicaid_Estate_Recovery...

    In other Medicaid expansion states with non-LTCR Medicaid estate recovery just prior to the ACA main provisions, such as Massachusetts, [8] [21] New Jersey, [20] Iowa, [25] Nevada, [26] New Hampshire, [27] [28] North Dakota, [29] Ohio, [30] Rhode Island, [31] Indiana, [32] Idaho, [53] Utah, [33] and Maryland, [34] as well as in the District of ...

  4. CareSource - Wikipedia

    en.wikipedia.org/wiki/CareSource

    CareSource celebrated 25 years as one of the nation's largest Managed Medicaid Plans and the largest in Ohio in 2014. The company then served more than 1 million consumers in Ohio and Kentucky. [30] In 2019 and 2020, CareSource earned a high quality rating in the Ohio Department of Medicaid (ODM) Managed Care Plans Report Card. [31] [32]

  5. Centers for Medicare & Medicaid Services - Wikipedia

    en.wikipedia.org/wiki/Centers_for_Medicare...

    The Centers for Medicare & Medicaid Services (CMS) is a federal agency within the United States Department of Health and Human Services (HHS) that administers the Medicare program and works in partnership with state governments to administer Medicaid, the Children's Health Insurance Program (CHIP), and health insurance portability standards.

  6. Medicaid managed care - Wikipedia

    en.wikipedia.org/wiki/Medicaid_managed_care

    There are two main forms of Medicaid managed care, "risk-based MCOs" and "primary care case management (PCCM)." [3] Managed care delivery systems grew rapidly in the Medicaid program during the 1990s. In 1991, 2.7 million beneficiaries were enrolled in some form of managed care.

  7. Medicaid waiver - Wikipedia

    en.wikipedia.org/wiki/Medicaid_waiver

    Section 1115 Research & Demonstration Projects: States can apply for program flexibility to test new or existing approaches to financing and delivering Medicaid and CHIP. Section 1915(b) Managed Care Waivers: States can apply for waivers to provide services through managed care delivery systems or otherwise limit people's choice of providers.

  8. Medical Mutual of Ohio - Wikipedia

    en.wikipedia.org/wiki/Medical_Mutual_of_Ohio

    Two years after the merger, the new company joined Blue Cross and Blue Shield of Northwest Ohio to form Blue Cross and Blue Shield of Ohio. [8] In 1997, the company left the Blue Cross/Blue Shield Association and re-claimed the name of one of its predecessors, becoming the present day Medical Mutual of Ohio. [9]

  9. Children's Health Insurance Program - Wikipedia

    en.wikipedia.org/wiki/Children's_Health_Insurance...

    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. Children from birth through age 18 who live in families with incomes above the Medicaid thresholds in 1996 and up to 200% of the federal poverty level are eligible for the CHIP ...