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- July 23, 2013
Q & A: Due Process: Issues with Private Contractors
Read moreQ. My client submitted claims to the state Medicaid agency for continued coverage of durable medical equipment (DME) and home services. Both requests were denied. The agency?s DME decision was based on the recommendation of a physician employed by the agency to review prior authorization requests. I understand…
- July 23, 2013
Q & A: Medicaid and Deference to Treating Providers
Read moreQ & A Medicaid and Deference to Treating Providers Produced by Sarah Somers National Health Law Program1 November 2008 Q. My twelve year-old client?s doctor requested coverage for twelve hours per day of private duty nursing. The state Medicaid agency denied…
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SoonerCare 1115 Waiver Evaluation: Final Report Part 1
External Source Manual/ReportRead moreSoonerCare 1115 Waiver Evaluation: Final Report January 2009 James Verdier, JD Margaret Colby, MPP Debra Lipson, MHSA Samuel Simon, PhD Christal Stone, MPH Thomas Bell, MBA Vivian Byrd, MPP Mindy Lipson Victoria Pérez Submitted to: …
- July 23, 2013
Dental Coding in Missouri Medicaid Raises Access Concerns
External Source Issue BriefRead more - July 23, 2013
SoonerCare 1115 Waiver Evaluation: Final Report Part 2
External Source Manual/ReportRead more