Tweet This

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 not yet enrolled (or is later deemed ineligible).

Case Mix Index (CMI)

A value that is assigned to a diagnosis-related group of patients. It is used in order to determine the distribution of resources for the care…