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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).

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…