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- July 23, 2013
GAO Report on 1115 Waivers
External Source Manual/ReportRead moreThis GAO report discusses the role and ability of HHS to effectively monitor, review, approve, and seek public input on 1115 waivers as states increasingly rely on this program to deliver care.
- July 23, 2013
Supreme Court won’t hear challenge to Medicaid beneficiaries’ victory
Read moreOn October 21, 2002, the Supreme Court let stand a lawsuit accusing North Carolina of condemning poor children to inadequate dental care by keeping Medicaid reimbursement for dentists so low that most of the state's dentists won't see covered patients. The state had argued without success in federal…
- July 23, 2013
CMS Release on Prenatal Care for Fetuses
External Source Regulations and LawsRead moreThis CMS Dear State Health Official letter describes the option for states to provide prenatal care to low-income women in the state's CHIP program.
- July 23, 2013
Q & A: Defining Medical Necessity
Read moreQuestion: Our office has been contacted by Ms. G., a 32-year-old Medicaid recipient. She tells us that the state Medicaid agency is seeking to implement a definition of ?medical necessity? that, when applied to her condition, will cause her physical therapy services to be terminated. What is the…
- July 23, 2013
Q & A: Coverage of Gastric Bypass Surgery
Read moreThis Q&A discusses the possibility of requiring Medicaid coverage of gastric bypass surgery.