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Medicaid Program State Comparison

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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

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A medicaid program state comparison is examined.

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HCM3005 Healthcare Finance

Week One

Assignment 6: Medicaid Basics

State in Which You Reside:
SOUTH CAROLINA
Comparison State: TEXAS

1. List the State's oversight agency for its Medicaid Program. The S.C. Department of Health and Human Services (DHHS) Texas Health and Human Services Commission (HHSC
2. Briefly describe how the State funds it Medicaid Program. The Medicaid program is jointly funded by the federal government and states. The federal government pays for a specified percentage of program expenditures, called the Federal Medical Assistance Percentage (FMAP). The state Medicaid program budget totals $5.9 billion. Twenty-nine percent were state matching monies. The largest portion of these state funds comes from the General Fund, 14%. State agency match was near 8%. Rebates and recoveries (1%), non-state-match (4%), and hospital and ...

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