Term
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Definition
| a combination of federal and state medical assistance designed for children pregnant women, elderly, disabled, and parents w/dependent children |
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Term
| (TANF) Temporary Assistance for Needy Families |
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Definition
| federal-state cash assistance for the poor primarily for single parent households |
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Term
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Definition
| US Department of Health and Human services issues these guidelines |
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Term
| (SSI)Supplemental Security Income |
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Definition
| federally funded cash assistance to elderly and disabled poor |
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Term
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Definition
| amount left over after eliminating items not considered income |
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Term
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Definition
| low-income families w/children, SSI recipients, pregnant women, infants and children, medicare beneficiaries |
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Term
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Definition
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Term
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Definition
| process claims on behalf of Medicaid |
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Term
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Definition
| State Children's Health Insurance Programs |
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Term
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Definition
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Term
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Definition
| may be required to "spend-down" to qualify |
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Term
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Definition
| Early Periodic Screening, Diagnosis, and Treatment program--offers services that ensure children receive appropriate health, mental health, and development services |
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Term
| Program of All-Inclusive Care for the Elderly (PACE) |
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Definition
| provides comprehensive alternative care for non institutionalized elderly who otherwise would be in a nursing home |
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Term
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Definition
| deductibles, co-insurance, or co-payments |
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Term
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Definition
| both Medicaid and Medicare |
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Term
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Definition
| provider bills and collects from liable 3rd parties before sending the claim to Medicaid |
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Term
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Definition
| used when the state Medicaid agency pays the medical bills and then attempts to recover these paid funds from liable third parties |
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Term
| Medicaid Cross-Over claims |
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Definition
| Dual coverage-(Medi-Medi)- Medicare is primary. Claims are first sent to Medicare, then "cross-over" to Medicaid |
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Term
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Definition
| Healthcare Common Procedure Coding System |
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Term
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Definition
| Health Insurance Claim Number |
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Term
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Definition
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Term
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Definition
| Centers for Medicare and Medicaid Services--Administers Medicaid |
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