PPT-Medicaid Rate Setting and

PsyR Practices Thoughts for NJPRA advocacy Changing bottom up granularity to top down strategy 1 Thinking Like A Systems Coach 2 Whats The Goal 3 4 4 Parameters 5 How To Get There. PRESENTATION BY PAUL SAUCIER. at the NATIONAL ACADEMY FOR STATE HEALTH POLICY 24. TH. ANNUAL CONFERENCE, KANSAS CITY, MISSOURI. OCTOBER 4, 2011. 2. NATIONAL MEDICAID . MANAGED CARE ENROLLMENT, 2009. Stephanie Bates. Branch Manager Disease and Case Management. Kentucky Department for Medicaid . Services. Administration of Medicaid. Governed by Federal Regulations. Services available to Medicaid recipients are outlined in a State Plan Amendment (SPA). Program Integrity . Eric D. Torres, J.D.. Program Integrity – Compliance Unit. 2. PURPOSE. . Assure the Programmatic and Fiscal Integrity of the Louisiana Medical Assistance Program including but not limited to Medicaid.. Tips, Tricks and Updates. April 2015. Presented by: Jan Paulsen, Program Officer. Provider Rate change. . During the 64. th. Legislative Session, an estimated 2% provider rate increase was approved. Check the website for a copy of the newest fee schedule, and the newest provider manual reflecting the rate increase and any program changes. This is likely to be implemented effective July1, 2015.. Rethinking Cost Claiming Service Activities. 2. Presenters. Charles Williams. NC Department of Health and Human Services . Social Service Program Coordinator. Division of Aging and Adult Services. charles.williams@dhhs.nc.gov. December 5. , . 2017. 1. Call Reminders. Put your name and district or company represented in chat box. Phone lines will be muted during most of call, so enter questions in chat box. Phone lines will be unmuted during open forum at end of call. Please mute your line at this time and do not put on hold (as some districts have music or announcements that play while on hold). PS Level 3 Soffits. PS Access Deck. Sluice Gate – Finish Operations. Sector Gate Foundation. Sector Gate Wall Work. F program that uses a streamlined patient - centered care model. What will FIDA do for you as a provider?  Provides extra support coordinating care for your patients through a Care Manager. T Rev 9/15Health and Recovery Plans HARPsA new kind of Medicaid Managed Care plan called a Health and Recovery Plan HARPwill provide more services for people with serious mental health and substance use 2016 National Training Program. Session Objectives. This session should help you . Define fraud and abuse . Identify causes of improper payments. Discuss how CMS. fights fraud and abuse. Explain how you can fight fraud and abuse. Sara Rosenbaum, JD. March 8, 2017. Background. With total Medicaid enrollment approaching 75 million, high interest in delivery and payment reform. Managed care serves as the principal means for health care organization, delivery, and payment within the Medicaid program, increasingly across all beneficiary populations. MedicaidandCHIPtheTerritoriesMedicaidandtheStateChildren’sHealthInsuranceProgram(CHIP)operatethefiveU.S.territoriesAmericanSamoa,theCommonwealththeNorthernMarianaIslands(CNMI),Guam,PuertoRico,and The Medicaid FeeorService Provider Payment ProcessIn most cases, Medicaid feeforservice ( 2 assure that the service is both covered by the Medicaid program and appropriate for the enrollee who is t Medicaids Role in Health Care for American Indians and Alaska Natives The Indian Health Service (IHS)is the U.S. Department of Health and Human Services (HHS)that is primarily responsible for providi