№ lp_1_24089
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Character count: 458755
File size: 525 KB
A formal intergovernmental contract governing an integrated Medicare-Medicaid demonstration that sets binding requirements for care delivery, enrollment, provider networks, quality oversight, and financial arrangements between federal and state health authorities and contracted care organizations.
Date:
August 1, 2023
Jurisdiction:
United States; South Carolina
Parties:
U.S. Department of Health and Human Services; Centers for Medicare & Medicaid Services; South Carolina Department of Health and Human Services
Document type:
Intergovernmental contract
Program:
Medicare-Medicaid integrated care demonstration
Subject matter:
Care coordination, enrollment, provider networks, quality improvement, and payment provisions
Covered entities:
Comprehensive Integrated Care Organizations (CICOs)
Regulatory framework:
Medicare and Medicaid
Effective period:
Demonstration years as specified in the contract
Governing law:
Applicable federal and state law
Price: 8 / 10 USD
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The product description is provided for reference. Actual content and formatting may differ slightly.
Year:
1995
Region / City:
United States
Topic:
Medicare Appeal Rights
Document Type:
Notice
Organization / Institution:
Centers for Medicare & Medicaid Services (CMS)
Author:
CMS
Target Audience:
Medicare beneficiaries
Period of validity:
Not specified
Approval Date:
Not specified
Modification Date:
Not specified
Year:
2020
Region / City:
United States
Topic:
Medicare Advantage Reporting Requirements
Document Type:
Government Report
Organization / Institution:
Centers for Medicare and Medicaid Services (CMS)
Author:
Centers for Medicare and Medicaid Services (CMS)
Target Audience:
Medicare Advantage Organizations, CMS staff, Health Plans
Period of Validity:
2020–2023
Approval Date:
2020
Amendment Date:
N/A
Year:
2022
Region / City:
United States
Theme:
Medicare Payment Systems
Document Type:
Final Rule
Organization / Institution:
Centers for Medicare & Medicaid Services (CMS)
Author:
Centers for Medicare & Medicaid Services (CMS)
Target Audience:
Healthcare Providers, Medicare Beneficiaries
Effective Date:
January 1, 2022
Approval Date:
November 2, 2021
Revision Date:
N/A
Year:
2025
Region / City:
Oregon
Theme:
Medicare Advantage, Coordinated Care
Document Type:
Report
Organization:
Oregon Health Authority (OHA)
Author:
Oregon Health Authority (OHA)
Target Audience:
Coordinated Care Organizations (CCOs), Medicare Advantage Plans
Period of Effect:
Medicare Plan Year 2026
Approval Date:
November 15, 2025
Amendment Date:
Not specified
Year:
2025
Region / City:
Victoria, Australia
Topic:
HIV treatment, healthcare program
Document type:
Official publication
Organization / Institution:
Victorian Government, Department of Health
Author:
Victorian Government
Target audience:
Healthcare professionals, HIV patients, healthcare policy makers
Date of approval:
August 2025
Date of changes:
Not specified
Note:
Year
Subject:
Managed Care, Medicaid, Health Insurance
Document Type:
Manual
Organization:
Health Care Authority (HCA), Department of Social and Health Services (DSHS)
Target Audience:
Staff, Health Care Providers
Year:
2025
Jurisdiction:
New York State
Document type:
Regulatory filing checklist
Line of business:
Individual Medicare Supplement Insurance
Regulatory authority:
New York State Department of Financial Services
Applicable regulations:
New York Insurance Law; 11 NYCRR Parts 52, 58, 215, 420
Insurance plans referenced:
Medicare Supplement Plans A, B, C, D, F, F+, G, G+, K, L, M, N
Filing scope:
Policy forms, riders, endorsements, applications, and rate filings
Update date:
March 2025
Intended users:
Insurers submitting Medicare supplement insurance filings in New York State
Source category:
Administrative regulatory guidance
Year:
2024
Region / City:
Australia
Theme:
Medicare Benefits Schedule, Pathology Services
Document Type:
Official Publication
Institution:
Australian Government Department of Health and Aged Care
Author:
Australian Government
Target Audience:
Health professionals, medical practitioners, and practice managers
Effective Date:
1 July 2024
Approval Date:
2024
Date of Last Update:
Not specified
Note:
Contextual Description
Year:
2023
Region / City:
Not specified
Topic:
Medicare Part B, Nursing and Allied Health Education Reimbursement
Document Type:
Overview
Organization / Institution:
Not specified
Author:
Lerrill White
Target Audience:
Providers of CPE programs, especially in acute care hospitals
Period of Action:
Not specified
Approval Date:
Not specified
Date of Amendments:
Not specified
Year:
2023
Region / City:
United States
Topic:
Outpatient Physical Therapy Standards
Document Type:
Standards Manual
Organization:
QUAD A
Author:
QUAD A
Target Audience:
Healthcare providers and facility administrators
Period of Validity:
Ongoing
Approval Date:
February 1, 2023
Date of Last Revision:
Not specified
Year:
2023
Region / City:
Orlando, FL
Topic:
Health Insurance, Medicare Advantage, Claim Denial
Document Type:
Appeal Letter Template
Organization:
MicroGen Diagnostics
Author:
MicroGenDX
Target Audience:
Medicare Advantage beneficiaries, healthcare professionals, insurance providers
Period of validity:
N/A
Approval Date:
N/A
Date of changes:
N/A
Year:
2023
Region / City:
Australia
Theme:
Medicare Benefits
Document Type:
Government Publication
Organization:
Department of Health and Aged Care
Author:
Australian Government
Target Audience:
General Public, Health Professionals
Period of Effect:
From 1 July 2023
Approval Date:
N/A
Modification Date:
N/A
Context Description:
Government publication detailing Medicare benefits and schedules for health services in Australia.
Note:
Year
Contextual description:
Template for VHA Medical Centers to apply for a Medicare Star Rating waiver for Community Nursing Homes, detailing eligibility criteria and submission instructions.
Note:
Year
Note:
Year
Organization / Institution:
Centers for Medicare & Medicaid Services (CMS)
Target Audience:
Medicare providers/suppliers
Context:
Detailed guide for downloading, installing, and setting up the Medicare Remit Easy Print software on a network for Medicare providers to view and print Medicare 835 documents.
Note:
Year
Topic:
Clinical Research, Retinal Diseases
Document Type:
Clinical Research Site Information
Organization / Institution:
Jaeb Center for Health Research (JCHR)
Target Audience:
Clinical researchers, Investigators, Healthcare professionals
Year:
202y
Region / City:
Frankfurt, Dubai
Topic:
Data Centers, Hybrid Cooling, AI, HPC
Document Type:
Whitepaper
Organization:
Open Compute Project
Author:
Karl Rabe, David Gyulnazaryan, John Fernandes
Target Audience:
Data Center Designers, Engineers, Technology Professionals
Period of Validity:
N/A
Approval Date:
xx Month 202y
Revision Date:
xx Month 202y
Year:
2024
Region / City:
Seattle
Topic:
Service dogs, ableism, disability justice
Document Type:
Research Article
Organization / Institution:
Seattle Pacific University, Department of Physics
Author:
Amy D. Robertson
Target Audience:
Researchers, disability advocates, public policy experts
Period of Action:
Not specified
Approval Date:
Not specified
Date of Changes:
Not specified
Year:
2023
Region / City:
United States
Topic:
Health Data Collection, Public Health Research, Survey Design
Document Type:
Federal Notice
Agency:
Centers for Disease Control and Prevention (CDC)
Author:
Centers for Disease Control and Prevention (CDC)
Target Audience:
Public, Federal Agencies, Health Researchers
Period of Effect:
Ongoing, with quarterly surveys
Approval Date:
06/30/2022
Modification Date:
Not specified