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Medicaid Waivers

Ability of the Secretary of Health and Human Services to allow a state to continue obtaining Medicaid funds when it is no longer compliant with requirements of Medicaid statute. States seek Medicaid waivers when experimenting with innovative services and payment reforms.

Presumptive Eligibility for Medicaid

A provision that allows providers to treat (and be reimbursed for) patients who they presume to be eligible for Medicaid, even if that patient is…