Glossary
Tags
- ACA
- ACA Marketplace
- ACA subsidies
- CHIP
- CMS
- ESRD
- Extra Help
- FMAP
- FPL
- FQHC
- FSA
- HCBS
- HMO
- HRA
- HSA
- IEP
- IRMAA
- Joint Commision
- KFF
- LCD
- LIS
- Marketplace
- Medicaid
- Medicaid (rare)
- Medicaid expansion
- Medicare
- Medicare Advantage
- Medicare Part A
- Medicare Part B
- Medicare Part D
- Medicare coordination
- Medigap
- NCD
- NEMT
- NOMNC
- Original Medicare
- PCP
- Part A
- Part B
- Part C
- Part D
- QLE
- QMB
- SEP
- SNF
- SNP
- SSI
- Section 1115
- Silver Plan
- Silver plan
State Medicaid Plan
A comprehensive program developed by each state, with federal approval, to outline how the state will administer its Medicaid program. Each state Medicaid plan includes details on eligibility, services covered, and how the state will meet federal Medicaid requirements.
A comprehensive program developed by each state, with federal approval, to outline how the state will administer its Medicaid program. Each state Medicaid plan includes details on eligibility, services covered, and how the state will meet federal Medicaid requirements.
Telehealth
The use of technology, such as video calls or phone consultations, to provide healthcare services remotely. Telehealth is increasingly covered by Medicare, Medicaid, CHIP, and ACA plans, especially for mental health services and routine checkups.
The use of technology, such as video calls or phone consultations, to provide healthcare services remotely. Telehealth is increasingly covered by Medicare, Medicaid, CHIP, and ACA plans, especially for mental health services and routine checkups.
Utilization Management
A process used by health insurance providers to evaluate the necessity and efficiency of healthcare services. It includes practices like prior authorization, step therapy, and case reviews to ensure appropriate use of medical resources. Common in Medicare Advantage, Medicaid, and ACA plans.
A process used by health insurance providers to evaluate the necessity and efficiency of healthcare services. It includes practices like prior authorization, step therapy, and case reviews to ensure appropriate use of medical resources. Common in Medicare Advantage, Medicaid, and ACA plans.
X-Ray Services
Diagnostic imaging services used to visualize internal structures of the body. Medicare Part B, Medicaid, and CHIP cover X-rays when deemed medically necessary, while ACA Marketplace plans also cover diagnostic services, including X-rays, as part of essential health benefits.
Diagnostic imaging services used to visualize internal structures of the body. Medicare Part B, Medicaid, and CHIP cover X-rays when deemed medically necessary, while ACA Marketplace plans also cover diagnostic services, including X-rays, as part of essential health benefits.