PPT-Medicare-Medicaid Plan Demonstrations

Chicago Regional Office Centers for Medicare Health Plan Operations Yolanda BurgeClark August 19 2014 10 million aprox individuals that are enrolled in both Medicare and Medicaid or dual eligibles. April 2013. CMS National Training Program. Introduction to Medicare . Medicaid and new eligibility group . Children’s Health Insurance Program (CHIP). 2. Session Topics. Health insurance for three groups of people. John Arnold. OCVIC, Project Director. jarnold@uhcanohio.org. 614-456-0060 x237. Making a difference Together. Ohio Chapter of GAPNA's 7th Annual Continuing Education day. “Why Your Voice Matters”. Year 1 Performance of Participating Accountable Care Organizations (2013). Source: Centers for Medicare and Medicaid Services, www.cms.gov.. 220 Medicare Shared Savings Program ACOs. Exhibit 2. Percentage of Accountable Care Organizations in the . The next chapter of HFS Managed Care. What is Managed Care?. A health care delivery system designed to provide coordinated care that will reduce unnecessary utilization of services, control cost, increase access and maximize quality. April 2018. What We’ll Cover. What are MSPs?. Why are They Important?. Different Types of Coverage. How MSPs Work. Eligibility Rules. Relationship to Other Benefits. How You Can Help Your Clients. Resources. The Medicare Rights Center is a national, nonprofit. consumer service organization that works to . ensure access to affordable health care for older . adults and people with disabilities through. Counseling and advocacy. April 2013. CMS National Training Program. Introduction to Medicare . Medicaid and new eligibility group . Children’s Health Insurance Program (CHIP). 2. Session Topics. Health insurance for three groups of people. 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 Revised April 2020Medicare is health insurance for149People 65 or older149149People of any age with End-Stage Renal Disease ESRD permanent kidney failure requiring dialysis or a kidney transplantWhat 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. Chiropractor Manual Policy Guidelines Version 2007 – 1 November 1, 2007 SECTION I – REQUIREMENTS FOR PARTICIPATION IN MEDICAID........................................................ROVIDE Section:Appendix Miscellaneous Information and Forms Glossary and Acronyms Page 1 of 8 9.1 Glossary and Acronyms Term Definition ADA American Dental Association Alliant Health Solutions The current What is Medicare?. Medicare is government sponsored health care for seniors and those with disabilities. . Medicare is often confused with Medicaid, which was created to provide . medical care for those in poverty.. Members . eligible for Traditional Medicaid . include:. Children. Pregnant Women. Aged, Blind or Disabled Adults. Women eligible under the Cancer Program. Some services are available only to children and to pregnant women under Traditional .