WHAT ARE THE IMPLICATIONS OF SIMULTANEOUS FEDERAL AND STATE INVOLVEMENT IN THE INSURANCE PROCESS?

Resources: Medical Insurance; the U.S. Department of Health & Human Services website

Refer to Ch. 10 of Medical Insurance.

Access the U.S. Department of Health & Human Services website. Navigate tohttp://www.cms.hhs.gov/home/medicaid.asp Select the Medicaid tab and review the program information.

Post a 260- to 350-word response to the following: Briefly discuss factors that determine Medicaid eligibility, and whether a procedure or service is covered. When can a provider bill a Medicaid patient directly for services? What are the implications of simultaneous federal and state involvement in the insurance process?


 

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