Health Care Access Medicaid Nurses 
Healthcare IT News - Telehealth
JANUARY 4, 2021
"Coverage for telehealth services may include utilization review, including preauthorization, to determine the appropriateness of telehealth as a means of delivering a health care service; provided, however, that the determination shall be made in the same manner as if the service was delivered in person," read the bill.
Healthcare Law Blog
MAY 16, 2022
More than 13 million people were enrolled in Medi-Cal in California in September 2021, making it the largest Medicaid program in the nation. In 2015, DHCS launched the WPC Pilots as part of its Medi-Cal 2020 Section 1115 Demonstration. MCPs may choose which ILOS to cover, in which counties, and to which members the ILOS are offered.
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HIT Consultant
NOVEMBER 12, 2024
The Medicaid population, who typically benefits from progress last, still grapples with harmful biases within the healthcare system that pose extreme barriers to care. But since this critical care area has been overlooked for too long, it has yet to reach the same level of accessibility other specialties offer.
Bill of Health
SEPTEMBER 9, 2022
And we know that our prisons, jails, and detention centers employ doctors with suspended and limited licenses as the exclusive source for health care for incarcerated people. Carceral health care occurs within a regulatory vacuum. Compare, for example, federal treatment of nursing homes with prisons.
Health Care Law Brief
APRIL 12, 2023
On April 5, the Centers for Medicare & Medicaid Services (“CMS”) released the 2024 Medicare Advantage and Prescription Drug Benefit Programs Final Rule (“Final Rule”), which will be codified at 42 C.F.R. The SRFs include low-income subsidy, dual eligibility (meaning eligible for Medicare and Medicaid) and disability.
YouCompli
AUGUST 9, 2023
As health care organizations return to business as usual, it’s time to ensure that we’re delivering health care services in a compliant and compassionate way. The main goal for reframing patient care should be to ensure we express and genuinely meet patient needs as they actually are – not what we think they are.
Innovaare Compliance
JANUARY 19, 2021
It has become evident by changes to the Centers for Medicare & Medicaid Services (CMS) Star Rating formulas over the past several years—and especially with changes implemented for the 2021 Plan Year—that member experience and medication adherence is of utmost importance to the CMS. Medicare Star Ratings 2021 Changes.
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