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Medicaid and CHIP: most physicians serve covered children but have difficulty referring them for specialty care: report to congressional committees
United States. Government
Paperback. Books LLC, Reference Series 2012-05-21.
ISBN 9781234657178
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Förlagets beskrivning
OCLC Number: 753757505 Excerpt: ...physicians and other providers must enroll with states as Medicaid and CHIP providers to receive payment for services provided under these programs, enrollment does not require physicians to serve a specific number of program beneficiaries or accept all program beneficiaries 2 seeking care. The Children's Health Insurance Program Reauthorization Act of 2009 ( CHIPRA ) required that we study Medicaid-and CHIP-covered children's access to primary and specialty care, including information on providers ' 3 willingness to serve these children. In this report, we address 1. the extent to which physicians are enrolled as Medicaid and CHIP providers and serving children in these programs, and the extent to which physicians are accepting these and other children as new patients; and 2. the extent to which physicians experience difficulty referring children in Medicaid and CHIP for specialty care, as compared to privately insured children. To answer our two research objectives, we conducted a national survey of physicians who serve children. We surveyed a nationally representative sample of physicians from each of three groups - specialty care physicians, primary care physicians in urban areas, and primary care physicians in rural areas - all of whom were practicing physicians in the United States who were office-or hospital-based and age 65 or younger, provided direct patient care to children ( age 0-18 ), and were not federal 2 Physicians who practice in certain settings, such as Federally Qualified Health Centers, may be required to serve uninsured patients and patients covered under Medicaid and CHIP. In addition, physicians practicing in a hospital subject to the Emergency Medical Treatment and Active Labor Act requirements may be required to serve patients regardless of insurance coverage. See generally 42 U.S.C. § 1395dd. 3 Pub. L. No. 111-3, § 402 ( d ), 123 Stat. 8, 84. Page 2 GAO-11-624 Medicaid and CHIP: Physicians ' Willing
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Medicaid and CHIP: most physicians serve covered children but have difficulty referring them for specialty care: report to congressional committees
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