Medicaid.gov: The Official U.S. Government Site for Medicaid and …
Find out more on Medicaid and CHIP flexibilities, coverage, and benefits related to COVID-19. The Medicaid continuous enrollment condition, authorized by the Families First Coronavirus …
Medicaid & You: Frequently Asked Questions | Medicaid.gov
Mar 12, 2018 · Contact your state Medicaid agency. They can help you get replacement cards and answer your questions about what services are covered, providers to use, and how to renew your eligibility.
As of October 1, 2023, as required by the statutory amendments made by section 11405 of the IRA, state Medicaid and CHIP programs must cover all approved adult vaccines recommended by ACIP, and their administration, without cost sharing for all full-benefit categorically needy beneficiaries enrolled in traditional Medicaid, and, depending on ...
CMS School-Based Services Resources - Medicaid.gov
We have also issued school-based services (SBS) guidance, most notably the 2023 Comprehensive Guide to Medicaid Services and Administrative Claiming. We have also provided sample State Plan Amendments (SPAs), Time Study Implementation Plans (TSIPs), Administrative Claiming Plans, and Cost Reports.
Billing and Coding Guidance - Medicaid.gov
Frequently Asked Questions to Assist Medicare Providers UPDATED Fact sheet: Expansion of the Accelerated and Advance Payments Program for Providers and Suppliers During COVID-19 Emergency UPDATED
CCBHC Billing Codes | Medicaid
The “T” codes are for CCBHCs to bill for Demonstration encounters while the Q2 modifier can be used for billing service-level data associated with each Demonstration encounter. These codes are effective for dates of service on and after January 1, …
Medicaid Supplemental Payment Expenditure Reporting
Pursuant to section 1903 (bb) (1) (A) of the Act, CMS designated the Medicaid Budget and Expenditure System (MBES) as the system for states to submit the reporting information required under section 1903 (bb) (1) of the Act, through a form titled …
Tribal Affairs Guidance & Resources - Medicaid.gov
Aug 30, 2022 · FAQs: Federal Funding for Services “Received Through” an IHS/Tribal Facility and Furnished to Medicaid Eligible American Indians and Alaska Natives (SHO #16-002)
Rate Review and Rate Guides - Medicaid.gov
In January 2024, CMS released the 2024-2025 Medicaid Managed Care Rate Development Guide for states to use when setting rates with respect to any managed care program subject to federal actuarial soundness requirements during rating …
Coordination of Benefits & Third Party Liability - Medicaid.gov
Coordination of Benefits (COB) refers to the activities involved in determining Medicaid benefits when an enrollee has coverage through an individual, entity, insurance, or program that is liable to pay for health care services. Individuals eligible for Medicaid assign their rights to third party payments to the State Medicaid Agency.