How state medicaid program is administered


Problem:

Search the internet for a Medicaid program and select the state in which you reside and another state for comparison.

Complete the attached matrix describing how your state's Medicaid program is administered. Included in the matrix is:

The oversight agency;
Funding for the program;
The state's Medicaid fiscal agent and responsibility; and
The reimbursement model(s) (fee-for service reimbursement model, capitation, a combination or other types) for different healthcare providers (i.e., physician, acute hospital, nursing facility, and other providers).

Use South Carolina and another state to complete

Medicaid Basics

 

 

State in Which You

Reside:

Comparison

State:

 

 

1.              

List the State's oversight agency for its Medicaid Program.

 

 

2.              

Briefly describe how the State funds it Medicaid Program.

 

 

3.              

What is the current budget for the State's Medicaid Program?

 

 

4.              

List the State's fiscal agent for its Medicaid Program. What is the responsibility of the fiscal agent?

 

 

5.              

What reimbursement models does the State use for different

healthcare providers?

Physicians

 

Physicians

 

Hospitals

 

Hospitals

 

Nursing Homes

 

Nursing Homes

 

Other Providers

 

Other Providers

 

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Finance Basics: How state medicaid program is administered
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