physicians office billing CH
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| ppl with low income and few resources | categorically needy
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| agency that provides financial assistance to low income ppl | temporaty assistance for needy families (TANF)
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| offers on opportuniey to develop plans for insurance coverage for uninsured children | state childrens health insurance program (SCHIP)
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| provides health care to chilrn under age of 21 who are enrolled in medicaid | EPSDT-early preventitive screening and diagnosis treatment
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| fee for service program that replaced the CHAMPUS program | tricare standard
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| eligible for both medicaid and medicare | medi-medi beneficiary
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| tricare term for coinsurance, the amount that is the Pts responsibility | cost share
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| government health insurance program for veterans with 100% service related disabilities | CHAMPVA
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| plan available for certain national guard and reserve members activated after 9/11 | tricare reserve select
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| plan that provides no-cost care through civilian providers for service members that live and work more than 50 miles from nearest MTF | tricare prime remote
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| plan all active duty service members are automatically enrolled in | tricare prime
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| coordinates and manages tricare prime members care | PCM (primary care manager)
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| alternative managed care plan for individuals who ant to recive services promarily from civilian facilities | tricare extra
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| if a medicaid beneficiary is covered by a group plan, then medicaid would be | the secondary payer
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| claims billed to medicare that are automatically sent to medicaid are called | crossover claims
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| a classification for ppl with high medical expenses and low income, although not low enough to receive cash assistance | medically needy
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| people classified as restricted status must | see a specific provider
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| medicaid is run by | state programs
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| two types of plans offered by medicaid are | fee-for-service and managed care
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| for medicaid to receive federal matching funds, states must cover | vaccines for children
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| for individuals enrolled in tricare-for-life, the primary payer would be | medicare
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| maximum annual amount a tricare beneficiary must pay is called | catastrophic cap
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| the worldwide database of tricare and champva beneficiaries is known as | DEERS
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