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Medicaid

Medicaid
STUDY
PLAY
CMS
Centers for Medicaid and Medicare Services
DEFRA
Deficit Reduction Act
EPSDT
early, periodic, screening, diagnosis, and treatment
FPL
Federal Paverty Level
HMO
Health Maintenance Organization
MCD
Medicaid
MCHP
Maternal and Child Health Programs
MCO
managed care organization
MQMB
Medical Qualified Medicare Beneficiary
MN
medically needy
OBRA
Omnibus Budget Reconciliation Act
OOY
over-one-year claims
POS
point of service machine
QI
Quality Individuals program
QMB
qualified Medicare beneficiary
RA
remittance advice
SCHIP
State Children's Health Care Program
SLMB
Specified Low-Income Medicare Beneficiary
SSI
Supplemental Security Income
TANF
Temporary Assistance to Needy Families
TEFRA
Tax Equity and Fiscal Responsibility Act
set up the public assistance programs
The Social Security Act of 1935
medical expenses of the needy unemployed
The Federal Emergency Relief Administration made funds available to pay for
The Medicaid program was a direct result of
a law passed by Congress in 1950.
welfare agency directly to the physician
In the Medicaid program, Congress authorized vendor payments for medical care, which are payments from the
The medically needy aged
require help in meeting costs of medical care
DEFRA and CHAP were responsible for
expanding Medicaid eligibility requirements
Medicaid is administered by the
state government with partial federal funding
CMS
The federal aspects of Medicaid are the responsibility of the
The Omnibus Budget Reconciliation Act
provided assistance for the aged and disabled who are receiving Medicare and whose incomes are below the poverty level.
the Medicaid-allowed amount
If a physician accepts Medicaid patients, the physician must accept
EPSDT
The Medicaid service for prevention, early detection, and treatment for welfare children is known as
managed care programs
To control escalating health care costs by curbing unnecessary emergency department visits and emphasizing preventive care, Medicaid reform has involved
120 days
The time limit to appeal a claim varies from state to state, but it is usually
categorically needy
medically needy
The two Medicaid eligibility classifications are the
95 days
time limit for filing medicaid only claims