![]() ![]() Source: Mathematica analysis of Medicaid and CHIP Program System (MACPro) reports for the Child Core Set Federal Fiscal Year (FFY) 2020 reporting cycle as of June 18, 20 Child and Adult Health Care Quality Measures. Medicaid MAGI & CHIP Application Processing Time.Testing Experience & Functional Tools demonstration.Alternatives to Psychiatric Residential Treatment Facilities Demonstration.Balancing Long Term Services & Supports.Person-Centered Hospital Discharge Model.Vision and Hearing Screening Services for Children and Adolescents.Early and Periodic Screening, Diagnostic, and Treatment.State Planning Grants for Qualifying Community-Based Mobile Crisis Intervention Services.SUPPORT Act Provider Capacity Demonstration.SUPPORT Act Innovative State Initiatives and Strategies.Medicaid Information Technology Architecture.Section 223 Demonstration Program to Improve Community Mental Health Services.Actuarial Report on the Financial Outlook for Medicaid.CMS-64 FFCRA Increased FMAP Expenditure Data.State Budget & Expenditure Reporting for Medicaid and CHIP.Medicaid Eligibility Quality Control Program.Medicaid Third Party Liability & Coordination of Benefits.Seniors & Medicare and Medicaid Enrollees.Coronavirus Disease 2019 (COVID-19): Section 1115 Demonstrations.1115 Substance Use Disorder Demonstrations.1115 Demonstration Monitoring & Evaluation.Medicaid & CHIP Marketplace Interactions.Performance Indicator Technical Assistance.Medicaid Enrollment Data Collected Through MBES.March 2023 Medicaid & CHIP Enrollment Data Highlights. ![]() Home & Community Based Services Authorities.Lawfully Residing Immigrant Children & Pregnant Individuals.Medicaid and CHIP Quality Resource Library.Affordable Care Act Program Integrity Provisions.Medicaid and CHIP Eligibility & Enrollment Webinars.Unwinding and Returning to Regular Operations after COVID-19.Home & Community-Based Services in Public Health Emergencies.Using Section 1115 Demonstrations for Disaster Response.Medicaid Data Collection Tool (MDCT) Portal.Eligibility & Administration SPA Implementation Guides.Health Home Information Resource Center.Promoting Community Integration Through Long-Term Services and Supports.Improving Care for Medicaid Beneficiaries with Complex Care Needs and High Costs.If you go to the emergency room and doctors discover that your pain is heartburn, your care should still be covered because the situation appeared to be an emergency.Įven if you do not have health insurance or the ability to pay, you still have the right under federal law to receive medical care in the case of an emergency. For example, let’s say you have chest pain and think you are having a heart attack. If your condition was not an emergency but appeared to be an emergency, Original Medicare or your Medicare Advantage Plan must still cover your care. You have the right to appeal if your plan does not cover your emergency care.Your plan must cover medically necessary follow-up care related to the medical emergency if delaying care would endanger your health.There are limits on how much your plan can bill you if you receive emergency care while out of your plan’s network, Specifically, you will be billed either $50 or your plan’s in-network cost for emergency services, whichever is less.Your plan cannot require you to see an in-network provider.If you have a Medicare Advantage Plan, be aware that: Emergency room services are typically provided when you have a medical condition that requires immediate action, such as an injury or sudden illness. Medicare Advantage Plans also must cover emergency room services anywhere in the country. If you have Original Medicare, Part B covers emergency room services anywhere in the U.S. ![]()
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