Medicare and Medicaid Health Budget Reconciliation Amendments of 1989: A Report, Volume 4U.S. Government Printing Office, 1989 - 210 pages |
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Page 18
... the bill , the committee an- ticipates making specific requests to the Secretary and the PPRC from time to time for additional information and analysis . Change in participating physician agreements . Physicians are normally given 18.
... the bill , the committee an- ticipates making specific requests to the Secretary and the PPRC from time to time for additional information and analysis . Change in participating physician agreements . Physicians are normally given 18.
Page 19
A Report. Change in participating physician agreements . Physicians are normally given a period of time before the start of the calendar year to sign a participation agreement for the coming calendar year . In order to make an informed ...
A Report. Change in participating physician agreements . Physicians are normally given a period of time before the start of the calendar year to sign a participation agreement for the coming calendar year . In order to make an informed ...
Page 20
... participating physician agreements due to expire on December 31 , 1989 , would be given an opportunity to become a non ... participation agreement , but the sign - up period due in November 1989 would be eliminated . Sec . 4003 - Payment ...
... participating physician agreements due to expire on December 31 , 1989 , would be given an opportunity to become a non ... participation agreement , but the sign - up period due in November 1989 would be eliminated . Sec . 4003 - Payment ...
Page 35
... participating in Medicaid , although the committee recognizes that payment levels are only one determinant of of physician participation . A State - by- State comparison of Medicaid and Medicare payments for 1986 shows that , on average ...
... participating in Medicaid , although the committee recognizes that payment levels are only one determinant of of physician participation . A State - by- State comparison of Medicaid and Medicare payments for 1986 shows that , on average ...
Page 36
... participation agreement must accept the Medicare reasonable charge as pay- ment in full and physicians who have not signed such an agree- ment cannot bill the patient more than the " maximum allowable actual charge " ( " MAAC " ) , as ...
... participation agreement must accept the Medicare reasonable charge as pay- ment in full and physicians who have not signed such an agree- ment cannot bill the patient more than the " maximum allowable actual charge " ( " MAAC " ) , as ...
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active treatment adjustments agency amendments amount apply appropriate assessment assure authority benefit bill would require child health clients clinic committee bill committee expects committee intends committee's community care services community care settings community habilitation competency evaluation compliance conversion factor costs current law determining durable medical equipment effective elderly established Federal Medicaid matching fee schedule fiscal functionally disabled habilitation and supportive habilitation facilities HCFA health services hospice care hysterectomy ICF/MR implementation income individuals with mental maternal and child MCH Block Grant Medicaid coverage Medicaid matching funds Medicaid program Medicare Medicare beneficiaries Medicare payments ment mental illness mental retardation methodology nurse aide training nurse practitioner nursing facility OBRA 87 option participation PASSAR patient percent physician PPRC pregnant women prevailing charge projects quired receiving regulations reimbursement related condition residential settings residents respite care Social Security Act specified State's supportive services Texas tion waiver women and infants
Popular passages
Page 143 - Each resident must receive and the facility must provide the necessary care and services to attain or maintain the highest practicable physical, mental, and psychosocial wellbeing, in accordance with the comprehensive assessment and plan of care.
Page 46 - Agency is to enhance the quality, appropriateness, and effectiveness of health care services, and access to such services, through the establishment of a broad base of scientific research and through the promotion of improvements in clinical practice and in the organization, financing, and delivery of health care services.
Page 158 - physician" as used in the regulations in this subchapter includes surgeons and osteopathic practitioners within the scope of their practice as defined by State law. The term "medical, surgical, and hospital services and supplies...
Page 158 - rehabilitative services" is defined as "any medical or remedial services recommended by a physician or other licensed practitioner of the healing arts, within the scope of his practice under State law, for maximum reduction of physical or mental disability and restoration of a recipient to his best possible functional level.
Page 46 - Agency, as stated by law, is to enhance the quality, appropriateness, and effectiveness of health care services...
Page 158 - Institution for mental diseases means a hospital, nursing facility, or other institution of more than 16 beds that is primarily engaged in providing diagnosis, treatment or care of persons with mental diseases, including medical attention, nursing care and related services. Whether an institution is an institution for mental diseases...
Page 143 - Social Security Act), and is given reasonable advance notice to ensure orderly transfer or discharge, and such actions are documented in his medical record; 5.
Page 160 - ... as a precondition of admitting a patient to a hospital, nursing facility, or intermediate care facility for the mentally retarded, or (B) as a requirement for the patient's continued stay in such a facility, when the cost of the services provided therein to the patient is paid for (in whole or in part) under the State plan, shall be guilty of a felony and upon conviction thereof shall be fined not more than $25,000 or imprisoned...
Page 147 - ... process to be completed in the year 2002, all children up to age 19 who were born after September 30, 1983, and who are in families with incomes at or below 100 percent of the federal poverty level. States have the option to provide Medicaid for certain additional groups. These include the so-called "Ribicoff children...
Page 165 - ... additional requirements before the first day of the first calendar quarter beginning after the close of the first regular session of the State legislature that begins after the date of the enactment of this Act.