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The Kaiser Family Foundation recently looked at state trends with regard to expanding access to telehealth-based behavioral care during the pandemic and found that states see telemedicine as a key component of maintaining access to behavioral healthcare for Medicaid enrollees. WHY IT MATTERS. ON THE RECORD.
As an FQHC, 75% of patients are enrolled in Medicaid or Medicare; another 7% are uninsured. THE PROBLEM Prior to 2020 and the COVID-19 pandemic, there were federal and statepolicies in place that discouraged FQHCs like Ryan Health from adopting telehealth services due to payment restrictions.
While state efforts to provide Medicaid-equivalent benefits to some populations of undocumented residents have helped expand access to coverage, many low- and moderate-income undocumented residents remain without affordable health insurance options.
Health Insurance Portability and Accountability Act (HIPAA) and Centers for Medicare and Medicaid Services (CMS) urge the providers to not only bill accurately but also adhere to their compliance rules. Healthcare professionals can reduce claim denials by following all billing protocols defined by payers and statepolicies.
TMAB is prohibited in ten states and one territory in addition to the states/territories with abortion bans. [ii] These barriers to care most commonly impact Medicaid populations, populations living in rural or low-income urban areas, non-English speaking, and BlPOC communities.
"As we know, [President] Biden has said in recent days that the pandemic is over, so it's possible that the technical public health emergency might expire sometime in the very near future," said Megan Herber, director at Faegre Drinker who advises ATA and ATA Action on all things Federal policy. THE LARGER TREND.
This separated spheres of authority vision does not account for the ubiquitous use of federal/state partnerships in achieving national and statepolicy goals, especially health policy goals. Under the ACA, for instance, the health insurance exchanges must be implemented by HHS if states do not create them.
Despite these challenges, there is an immense opportunity for the healthcare system, particularly Medicaid, to play a transformative role in addressing health equity for this population. Studies from the Center on Budget and Policy Priorities examine the intersection of public assistance programs and child welfare system involvement.
While the EMTALA guidance is currently being challenged in federal court, we expect the Administration to address additional issues related to reproductive health care services, including statepolicies affecting telehealth and travel restrictions for abortion.
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