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Usual, Customary or Reasonable (UCR)

An industry term for the typical rates charged for services in a specific region. For example, if a surgeon in Virginia were to charge twice as much for a surgery as the average cost of that procedure in the area, those charges would not be considered usual, customary or reasonable.

Community First Choice Option

Provision allowing states to offer home based or community based long-term care for Medicaid enrollees as opposed to care provided in a traditional long-term care…