Medicaid is administered by the States, each of which has its own billing procedures and reimbursement rates.
In Georgia, Medicaid provides limited coverage for dental services, primarily for children under the Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) program. Adult dental coverage under Medicaid is minimal and typically only includes emergency procedures. For more comprehensive dental services, individuals may need to explore additional insurance options or community health programs. It's advisable to check with Georgia's Medicaid program for the most current details on covered services.
The department of Health and Human Services. Investigations into violations of HHS regulations can be carried out by the Office of Inspector General for HHS in conjunction with the FBI and other agencies.
The Healthcare Common Procedure Coding System (HCPCS) is published by the Centers for Medicare & Medicaid Services (CMS) and is used to report procedures, services, and supplies that are not classified in the Current Procedural Terminology (CPT). HCPCS includes two levels: Level I, which corresponds to CPT codes, and Level II, which covers non-physician services, such as ambulance services and durable medical equipment. These codes are essential for billing and reimbursement purposes within the Medicare and Medicaid programs.
To protect Meidcare and Medicaid recipients from fraud, and to regulate anyone involved in providing Medicare and Medicaid related services and products.
Varies by state; check with your state's medicaid or social services division.
Centers for Medicaid and Medicare Services
Charging for services that were not provided.
Centers for Medicare and Medicaid Services
Services that will not be paid by Medicare or Medicaid and will have to paid for in full by the consumer.
Some advantages of Medicaid are that it pays for long term care services in nursing facilities
You will need to apply at your local departmental of Health and Human services for medicaid in Ohio.