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Part D covers the cost of some or all of the prescription drugs for people who live long-term in a custodial nursing home. These optional plans do not pay for long-term nursing home care.
CareSource is a nonprofit that began as a managed health care plan serving Medicaid members in Ohio. Today, it provides public health care programs including Medicaid, Medicare, and Marketplace. The company is headquartered in Dayton, Ohio. It is the largest Medicaid plan in Ohio and is second largest in the United States. [2] [3]
Drugs which do not appear on the formulary at all mean consumers must pay the full list price. To get drugs listed on the formulary, manufacturers are usually required to pay the PBM a manufacturer's rebate, which lowers the net price of the drug, while keeping the list price the same. [20]
Part D coverage excludes drugs or classes of drugs that may be excluded from Medicaid coverage. These may include: Drugs used for anorexia, weight loss, or weight gain; Drugs used to promote fertility; Drugs used for erectile dysfunction; Drugs used for cosmetic purposes (hair growth, etc.) Drugs used for the symptomatic relief of cough and colds
Administration of nursing homes are the state to local department of health direct to local contracts, generally for-profit. [citation needed] Depending on size, staff may include those responsible for individual departments (i.e., accounting, human resources, etc.). Nursing home administrators are required to be licensed to run nursing facilities.
Medicaid, a federal health insurance benefit for low-income Americans, will cover services at most nursing homes (limited to medically necessary care). But, the beneficiary must give up most of ...
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