South Dakota Medicaid Medicaid Management Information System MMIS Project Larry Iversen, Medicaid Director August 23,

Mar 07, 2012

80 likes | 808 Views

. . . 1. Background of Medicaid In South Dakota. Larger healthcare insurer in South Dakota with 125,000 unduplicated individuals participating in the program during FY06 and average monthly enrollment of over 101,000. Program adjudicates over 5 million claims per year. In FY06, the state expended $640.1 million in total on healthcare services and administration of the Medicaid program. The $208.9 in general funds match represented 20.7% of the entire state budget. Complex program involving 34135

Share Presentation

Embed Code

Link

arlais

Download Presentation

South Dakota Medicaid Medicaid Management Information System MMIS Project Larry Iversen, Medicaid Director August 23,

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

Medicaid:

Medicaid: . Finding a Way Through the Maze of Non IV-E Eligibility . HISTORY

813 views • 21 slides

Medicaid

Medicaid. Professor Vivian Ho Health Economics Fall 2009. Topics. Coverage and Financing Current Challenges Restraining costs Improving health. 1972 17,606 1975 22,007 1985 21,814 1988 22,907 1989 23,511 1990 25,255 1995 36,282 1998 40,096

532 views • 36 slides

Medicaid Management Information System (MMIS) Replacement

Medicaid Management Information System (MMIS) Replacement. Planning Phase. Planning Phase Process. Received an appropriation during the 2003 Legislative Session to plan for the replacement of the MMIS.

300 views • 7 slides

Medicaid Changes

Medicaid Changes. Discussion Points. What? Why? The Federal False Claims Act NYS False Claims Act Speech Therapy Counseling Transportation Financial Impact. What?. Medicaid stopped payments for speech, counseling, and transportation. All pending claims will be denied.

508 views • 33 slides

Medicaid 101

Medicaid 101 . Just the Basics. Medicare Vs Medicaid. Medicare: Over 65, or Disabled Federally Managed program Medicaid Resource & Need Based State – Federal Payer of last resort (except Indian Health Services) SSI Recipient. Social Security Act .

767 views • 25 slides

Medicaid Management

Medicaid Management. Stacy Calvaruso, CHAM Assistant Vice President – Patient Management, Ochsner Health System. Congressional Budget Office ……. Healthcare Reform is expected to result in Medicaid volumes growing from 39 Million to 55 Million eligible individuals by 2014.

471 views • 33 slides

North Dakota – Medicaid Expansion

North Dakota – Medicaid Expansion. October 8, 2014 ND Assoc of Counties. Background. Affordable Care Act (ACA) included a mandate for all states to expand Medicaid. June 2012 Supreme Court decision indicated that the US Department of Health and Human Services could not enforce the mandate.

302 views • 13 slides

Medicaid

Medicaid. Medicaid. Sen. Mike Haridopolos – Town Hall Meeting – Monday, August 24, 2009. Medicaid. Since 2003, federal portion for Medicaid has decreased Down from 59% to 55% Plan advanced in Washington, D.C. will cost Floridians an additional $1.6 billion each year.

279 views • 7 slides

Medicaid

Medicaid. OT 232 Chapter 11. Medicaid. Largest non-employer-sponsored health insurance program State administered and funded program that receives some funds from federal government Federal funds are based on the state’s average per capita income vs. the national average

333 views • 20 slides

Medicaid Management Information System (MMIS) Replacement

Medicaid Management Information System (MMIS) Replacement. Stakeholder Meeting September 21, 2004. Welcome. Submitting Questions Will answer all questions during the Question time designated on the agenda. Availability of Broadcast after Meeting Handouts.

166 views • 4 slides

South Dakota Medicaid Program

South Dakota Medicaid Program. April 23, 2013. What is Medicaid?. Medicaid is one of the largest healthcare insurers in South Dakota Federal-State partnership governed by Medicaid state plan- agreement with federal government on who is served and what services are covered

389 views • 21 slides

North Dakota Medicaid Expansion

North Dakota Medicaid Expansion. Julie Schwab, MNA, MMGT Director of Medical Services North Dakota Department of Human Services. Beginning in January 2014, North Dakota is expanding access to Medicaid to cover more individuals. Enrollment will begin soon

456 views • 28 slides

Medicaid

Medicaid. Professor Vivian Ho Health Economics Fall 2007. Topics. Coverage and Financing Current Challenges Restraining costs Improving health. 1972 17,606 1975 22,007 1985 21,814 1988 22,907 1989 23,511 1990 25,255 1995 36,282 1998 40,096

523 views • 36 slides

South Carolina Medicaid

South Carolina Medicaid. Coordinated Care and Enrollment Counselors Programs. South Carolina Medicaid Facts. Provides benefits for over 20% of population Pays for 60% of all births Covers over 40% of all children Covers 30% of all seniors Nearly $5 billion total annual budget

527 views • 27 slides

MEDICAID, MEDICAID, WHERE ART THOU MEDICAID???

MEDICAID, MEDICAID, WHERE ART THOU MEDICAID???. Funded in part by CMS Medicaid Infrastructure Grant CFDA 93768. An Overview of Medicaid Financial Eligibility. The Medicaid Categories Categorically Needy Medically Needy Waivers Medicaid Buy-In (HWD)

600 views • 26 slides

MEDICAID RACs

MEDICAID RACs. SPENCER WEBCAST 040814 V1. ESTABLISH MUSIC: 34459752: MAKE MUSIC WORK WITH CAR SCENE DISSOLVE TO CLIP: 17106943 ZOOM OUT SUPER: THE MEDICAID RACS AND EXPLODE. 2-MIDNIGHT RULE. THE MEDICAID RACs. KNOW THE DIFFERENCE.

419 views • 23 slides

Medicaid

Medicaid. The Real Problem with Child Welfare Funding Tracey Feild Institute for Human Services Management. The Title IV-E Straitjacket. The Pew Commission argues that Title IV-E is too categorical to provide the flexibility to meet the needs of children and families.

721 views • 59 slides

Medicaid

Medicaid. What is Medicaid? Many people believe that Medicaid will pay for their care in the community or in facilities, if needed. That may not be the case.

720 views • 58 slides

Information for Medicaid Caseworkers

Information for Medicaid Caseworkers. Health Insurance Buy-In ( HIBI ) Program O bjective. Partner with Medicaid caseworkers to Offer cost savings to the State on Medicaid health care claims Help individuals with high health care costs save money

295 views • 16 slides

MEDICAID

MEDICAID. Medicaid Administrative Claiming--MAC. vs. Targeted Case Management and Maternity Case Management. MAC. MAC is for the proper and efficient administration of the State’s Medicaid Plan – aka – the Oregon Health Plan.

481 views • 35 slides

New York State Replacement Medicaid Management Information System (R-MMIS)

New York State Replacement Medicaid Management Information System (R-MMIS). Offerors Conference July 14, 2010. Written questions due by vendors: Questions/answers posted by NYSDOH: Proposals due by vendors:. July 22, 2010 On or about August 12, 2010 October 29, 2010 1:00 pm.

293 views • 14 slides

Change Request: Medicaid Management Information System Enhancements Project 2012 - 2014

Change Request: Medicaid Management Information System Enhancements Project 2012 - 2014. Presented to Project Certification Committee December 19, 2012 Presenters: Mark Pitcock, Deputy Director, HSD/MAD Linda Gonzales, Systems Bureau Chief, HSD/MAD

324 views • 16 slides

More Related