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Dual Eligible Project (MMP)
... way to serve people who are eligible for both Medicare and Medicaid, known as dual eligibles. The goal of the project is to better coordinate the care those dual eligible members receive.  The project, also ...

A-800, Medicaid Eligibility
... October 1, 2016   Medical Programs Applicants may receive Medicaid during the three-month period before the month they ... (TP 48) MA – Children 6-18 (TP 44) MA – Former Foster Care Children (FFCC) (TA 82) The above programs cannot be ... There are two types of coverage: fee-for-service and managed care.   A—821.1 Fee-for-Service Revision 15-4; ...

Section 3000, Eligibility
... is to provide hospice staff with a basic understanding of Medicaid eligibility determinations for general discussions ... the amount of income he must apply toward the cost of his care (copay). Denial of Medicaid eligibility may be appealed ... Medicare hospice programs. For more information regarding dual eligibility, see Item 3640 , Dually Eligible Recipients. ...

Section 1000, State of Texas Access Reform Plus (STAR+PLUS) Managed Care
... Reform Plus (STAR+PLUS) program to create a cost-neutral managed care system to combine acute care with long term services and supports (LTSS). The STAR+PLUS program does not change Medicaid eligibility or services. It does change the way ...

Section 1000, State of Texas Access Reform Plus (STAR+PLUS) Managed Care
... Reform Plus (STAR+PLUS) program to create a cost-neutral managed care system to combine acute care with long-term services and supports (LTSS). The STAR+PLUS program does not change Medicaid eligibility or services. It does change the way ...

Section 3000, STAR+PLUS HCBS Program Eligibility and Services
... Revision 18-2; Effective September 3, 2018     3110 Medicaid, Medicare and Dual-Eligibles Revision 18-2; ... Members Revision 19-1; Effective June 3, 2019   Managed care organizations (MCOs) are required to contact all members ...

Section 3000, STAR+PLUS HCBS Program Eligibility and Services
... Revision 18-0; Effective September 4, 2018     3110 Medicaid, Medicare and Dual-Eligible Members Revision 18-0; ... dual-eligible members. Dual eligible members choose a managed care organization (MCO), but are not required to choose a ...

Section 15000, Pre-Enrollment Activities and Financial Eligibility Related to HCS and TxHmL
... the person is currently enrolled in an HHSC program or a Medicaid waiver. Enter the person’s Medicaid number or ... in HCS or TxHmL. ensure the person's Individual Plan of Care (IPC) begin date is on the first day of the month.    ... in SPW will continue for one more month. contact the managed care organization (MCO) service coordinator to ...

Medicaid for the Elderly and People with Disabilities Handbook
... A-2100 Supplemental Security Income (SSI) A-2200 Emergency Medicaid Coverage for Aliens A-2300 RSDI Cost of Living ... Groups A-3100 SSI Denied Due to Entry into a Long-Term Care Facility A-3200 Special Income Limit A-3300 Home and ... for the Elderly (PACE) Section O-3000 Waiver Programs and Managed Care O-3000 Waiver Programs and Managed Care O-3100 ...

Section 13000, Medicaid Program Enrollment Requirements
... staff to complete enrollments for persons into specified Medicaid programs.   13100 LIDDA Required Training Revision ... Persons moving out of a large community intermediate care facility for individuals with an intellectual disability ... interest list. Community First Choice (CFC) in Medicaid Managed Care Organizations (MCO) Web-based Training Community ...

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