Presentation is loading. Please wait.

Presentation is loading. Please wait.

CAID https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html.

Similar presentations


Presentation on theme: "CAID https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html."— Presentation transcript:

1 CAID https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

2 Bayer - Medicaid reimbursement 1 In January 2001, Bayer agreed to pay $14 million to the United States and 45 states to settle allegations under the federal False Claims Act that the company caused physicians and other health care providers to submit fraudulently inflated reimbursement claims to Medicaid. https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

3 Pharmaceutical fraud - Medicaid price reporting 1 In order to decrease the amounts owed to the states, some companies misrepresented material facts regarding the regulatory origin/status of their brand name drugs, the AMP, and/or the best price. Despite the Government’s good faith reliance to charge manufacturers a unit rebate amount based upon the manufacturer’s own representation of drug status, and price, some manufacturers have deceptively and fraudulently, breached their duty to deal honestly with the Government. https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

4 Affordable Care Act - State rejections of Medicaid expansion 1 States that decline to expand Medicaid before 2014 may choose to opt in at a later time. https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

5 Affordable Care Act - State rejections of Medicaid expansion 1 The drafters of the ACA had intended for Medicaid to cover individuals and families with incomes up to 133% (138% Provisions of the Patient Protection and Affordable Care Act#Effective January 1, 2014|under effective definitions of income) of the federal poverty level by expanding Medicaid eligibility and simplifying the State Children's Health Insurance Program|CHIP enrollment process https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

6 Affordable Care Act - State rejections of Medicaid expansion 1 Studies of the impact of state decisions to reject the Medicaid expansion, as of July 2013, calculate that up to 6.4 million Americans could fall into this coverage gap. https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

7 Affordable Care Act - State rejections of Medicaid expansion 1 However, studies suggest that rejecting the expansion will cost states more than expanding Medicaid due to increased spending on uncompensated emergency care that otherwise would have been partially paid for by Medicaid coverage. https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

8 D. Lawrence Kincaid 1 Lawrence Kincaid' (born 1945) is a Senior Advisor for the Research and Evaluation Division of the Center for Communication Programs and an Associate Scientist in the Faculty of Social and Behavioral Sciences at the Johns Hopkins Bloomberg School of Public Health.http://www.jhuccp.org/research_bio s https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

9 D. Lawrence Kincaid 1 In the Johns Hopkins Bloomberg School of Public Health, Kincaid was Founding Director of the Research and Evaluation Division of the Center for Communication Programs from 1988 to 1997. He was also instrumental in establishing the Interdepartmental Health Communication Program and served as the first director. He has been involved in health communication programs in Asia, Latin America, and Africa for 30 years. https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

10 D. Lawrence Kincaid 1 Lawrence Kincaid (2002) https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

11 D. Lawrence Kincaid 1 Lawrence Kincaid (1979) https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

12 D. Lawrence Kincaid 1 Kincaid also developed new methods for multivariate causal attribution analysis of communication impact, the communication for participatory development model, the ideational model for behavior change communication and evaluation, computer programs to analyze the multi-dimensional image of audience perceptions, computer simulation of social networks for the theory of bounded normative influence, and drama theory to measure the impact of entertainment-education programs.http://www.jhuccp.org/research_bio s. https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

13 D. Lawrence Kincaid 1 Lawrence Kincaid (1987) https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

14 D. Lawrence Kincaid - Publications 1 Kincaid, D. L. (1979). The convergence model of communication (East-West Communication Institute Paper No. 18). Honolulu, HI: East-West Center. https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

15 D. Lawrence Kincaid - Publications 1 Kincaid, D. L. (1985). Recent developments in the methods for communication research. Journal of East and West Studies, 14(1), 89-98. https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

16 D. Lawrence Kincaid - Publications 1 Kincaid, D. L. (1987). The convergence theory of communication, self- organization, and cultural evolution. In D. L. Kincaid (Ed.), Communication theory: Eastern and Western perspectives (pp.209–221). San Diego, CA: Academic Press. https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

17 D. Lawrence Kincaid - Publications 1 Kincaid, D. L. (1988). The convergence theory of intercultural communication. In Y. Y. Kim W. B. Gudykunst (Eds.), Theories in intercultural communication (pp.280– 298). Newbury Park, CA: Sage. https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

18 D. Lawrence Kincaid - Publications 1 Kincaid, D. L. (1993). Communication network dynamics, cohesion, centrality and cultural evolution. In W. B. Richards G. A. Barnett (Eds.), Progress in communication sciences (Vol. 12, pp.111– 133). Norwood, NJ: Ablex. https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

19 D. Lawrence Kincaid - Publications 1 Kincaid, D. L. (2000). Mass media, ideation, and behavior: A longitudinal analysis of contraceptive change in the Philippines. Communication Research, 27(6), 723-63. https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

20 D. Lawrence Kincaid - Publications 1 Kincaid, D. L. (2002). Drama, emotion and cultural convergence. Communication Theory, 12(2), 136-52. https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

21 D. Lawrence Kincaid - Publications 1 Kincaid, D. L., Yum, J. O., Woelfel, J., Barnett, G. A. (1983). The cultural convergence of Korean immigrants in Hawaii: An empirical test of a mathematical theory. Quality and Quantity, 18(1), 59-78. https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

22 D. Lawrence Kincaid - Publications 1 Barnett. G. A., Kincaid, D. L. (1983). Cultural convergence: A mathematical theory. In W. B. Gudykunst (Ed.), Intercultural communication theory: Current perspectives (pp.171–194). Beverly Hills, CA: Sage. https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

23 D. Lawrence Kincaid - Publications 1 Rogers, E. M., Kincaid, D. L. (1981). Communication network: Toward a new paradigm for research. New York, NY: Free Press. https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

24 Centers for Medicare and Medicaid Services 1 The 'Centers for Medicare Medicaid Services' ('CMS'), previously known as the 'Health Care Financing Administration' ('HCFA'), is a federal agency within the United States Department of Health and Human Services (DHHS) that administers the Medicare (United States)|Medicare program and works in partnership with state governments to administer Medicaid, the State Children's Health Insurance Program (SCHIP), and health insurance portability standards https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

25 Centers for Medicare and Medicaid Services - History 1 The Social Security Administration (SSA) became responsible for the administration of Medicare and the Social and Rehabilitation Service (SRS) became responsible for the administration of Medicaid https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

26 Centers for Medicare and Medicaid Services - History 1 In 1977, the Health Care Financing Administration (HCFA) was established under HEW. HCFA became responsible for the coordination of Medicare and Medicaid. The responsibility for enrolling beneficiaries into Medicare and processing premium payments remained with SSA. https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

27 Centers for Medicare and Medicaid Services - History 1 The CMS developed and uses several systems to classify Medicare cases. Hospital cases are classified using the Diagnosis-related group|Diagnosis- Related Group (DRG); outpatient cases are classified using the Ambulatory Patient Group (APG). These systems are used to determine how much Medicare pays the hospital or provider for each service or product. https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

28 Centers for Medicare and Medicaid Services - Workforce 1 The CMS employs approximately 4,100 employees, of which 2,700 are located at its headquarters in Woodlawn, Baltimore County, Maryland|Woodlawn, Maryland. The remaining employees are located in the Hubert H. Humphrey Building in Washington, D.C., the 10 regional offices listed below, and in various field offices located throughout the United States. https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

29 Centers for Medicare and Medicaid Services - Regional offices 1 CMS has its headquarters in Woodlawn, Baltimore County, Maryland|Woodlawn, Maryland, with 10 regional offices located throughout the United States: https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

30 Centers for Medicare and Medicaid Services - Regional offices 1 * Region I– Boston, Massachusetts https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

31 Centers for Medicare and Medicaid Services - Regional offices 1 :Connecticut, Massachusetts, Maine, New Hampshire, Rhode Island and Vermont. https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

32 Centers for Medicare and Medicaid Services - Regional offices 1 :New Jersey, New York, as well as the U.S. Virgin Islands and Puerto Rico. https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

33 Centers for Medicare and Medicaid Services - Regional offices 1 :Delaware, Maryland, Pennsylvania, Virginia, West Virginia and the District of Columbia. https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

34 Centers for Medicare and Medicaid Services - Regional offices 1 * Region IV– Atlanta, Georgia (U.S. state)|Georgia https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

35 Centers for Medicare and Medicaid Services - Regional offices 1 :Alabama, Florida, Georgia (U.S. state)|Georgia, Kentucky, Mississippi, North Carolina, South Carolina and Tennessee. https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

36 Centers for Medicare and Medicaid Services - Regional offices 1 :Arkansas, Louisiana, New Mexico, Oklahoma and Texas. https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

37 Centers for Medicare and Medicaid Services - Regional offices 1 * Region VII– Kansas City, Missouri|Kansas City, Missouri https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

38 Centers for Medicare and Medicaid Services - Regional offices 1 :Iowa, Kansas, Missouri, and Nebraska. https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

39 Centers for Medicare and Medicaid Services - Regional offices 1 :Arizona, California, Hawaii, Nevada, the Territories of American Samoa, Guam, and the Commonwealth of the Northern Mariana Islands. https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

40 Centers for Medicare and Medicaid Services - Regional offices 1 * Region X– Seattle, Washington (U.S. State)|Washington https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

41 Centers for Medicare and Medicaid Services - Regional offices 1 :Alaska, Idaho, Oregon, and Washington (U.S. State)|Washington https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

42 Medicaid 1 Poverty alone does not necessarily qualify someone for Medicaid. https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

43 Medicaid 1 Sebelius that states do not have to agree to this expansion in order to continue to receive previously established levels of Medicaid funding, and many states have chosen to continue with pre-ACA funding levels and eligibility standards. https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

44 Medicaid - Features 1 Nationwide, roughly 60% of enrollees are enrolled in managed care plans.[http://www.cms.hhs.gov/MedicaidM anagCare/ Overview] Core eligibility groups of poor children and parents are most likely to be enrolled in managed care, while the aged and disabled eligibility groups more often remain in traditional fee for service Medicaid. https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

45 Medicaid - Features 1 2008 average cost per senior was reported as $ 14,780, (in addition to Medicare), a state by state listing was provided.http://wiki.answers.com/Q/What_i s_the_cost_per_person_annually_for_med icaid?#slide=1 https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

46 Medicaid - Features 1 In 2010 a national report for all age groups, the per enrolled average cost was calculated to $ 5,563, and a state by state and coverage age by coverage ag listing is provided.http://kff.org/medicaid/state- indicator/medicaid-payments-per-enrollee/ https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

47 Medicaid - Eligibility and benefits 1 Eligibility is categorical—that is, to enroll you must be a member of a category defined by statute; some of these categories include low-income children below a certain age, pregnant women, parents of Medicaid-eligible children who meet certain income requirements, and low-income seniors https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

48 Medicaid - Eligibility and benefits 1 People with disabilities who do not have a work history and who receive Supplemental Security Income, or SSI, are enrolled in Medicaid as a mechanism to provide them with health insurance https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

49 Medicaid - Eligibility and benefits 1 Some states operate a program known as the Health Insurance Premium Payment Program (HIPP). This program allows a Medicaid recipient to have private health insurance paid for by Medicaid. As of 2008 relatively few states had premium assistance programs and enrollment was relatively low. Interest in this approach remained high, however.Joan Alker, [http://www.kff.org/medicaid/upload/7782.p df Choosing Premium AssistanceH: What does State experience tell us?,] The Kaiser Family Foundation, 2008 https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

50 Medicaid - Eligibility and benefits 1 Included in the Social Security program under Medicaid are dental services. These dental services are an optional service for adults above the age of 21; however, this service is a requirement for those eligible for Medicaid and below the age of 21.[http://www.medicaid.gov/Medicaid- CHIP-Program-Information/By- Topics/Benefits/Dental-Care.html Medicaid Dental Coverage Overview] https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

51 Medicaid - Eligibility and benefits 1 If a condition requiring treatment is discovered during an oral screening, the state is responsible for taking care of this service, regardless of whether it is covered on that particular Medicaid plan.[http://www.cms.hhs.gov/MedicaidDe ntalCoverage/Downloads/dentalguide.pdf CMS.hhs.gov] https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

52 Medicaid - History 1 The federal Centers for Medicare and Medicaid Services (CMS) monitors the state-run programs and establishes requirements for service delivery, quality, funding, and eligibility standards. https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

53 Medicaid - History 1 The Medicaid Drug Rebate Program and the Health Insurance Premium Payment Program (HIPP) were created by the Omnibus Budget Reconciliation Act of 1990 (OBRA-90). This act helped to add Section 1927 to the Social Security Act of 1935 which became effective on January 1, 1991. This program was formed due to the costs that Medicaid programs were paying for outpatient drugs at their discounted prices.[http://www.cms.hhs.gov/MedicaidD rugRebateProgram/ Overview] https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

54 Medicaid - History 1 The Omnibus Budget Reconciliation Act of 1993 (OBRA-93) amended Section 1927 of the Act as it brought changes to the Medicaid Drug Rebate Program, as well as requiring states to implement a Medicaid estate recovery program to sue the estate of descendants for medical care costs paid by Medicaid.[http://aspe.hhs.gov/daltcp/reports/e staterec.htm Medicaid Estate Recovery, U.S. Department of Health and Human Services, April 2005] https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

55 Medicaid - History 1 Federal law mandates that every disabled child in America receive a “free appropriate public education.” Decisions by the United States Supreme Court and subsequent changes in federal law make it clear that Medicaid must pay for services provided for all Medicaid eligible disabled children. https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

56 Medicaid - In Process 1 The federal government would pay 100% of the cost of Medicaid eligibility expansion in 2014, 2015 and 2016; 95% in 2017, 94% in 2018, 93% in 2019, and 90% in 2020 and all subsequent years. https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

57 Medicaid - In Process 1 Several states have opted to reject the expanded Medicaid coverage provided for by the act; over half of the nation's uninsured live in those states https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

58 Medicaid - In Process 1 As a result of the Supreme Court ruling, effective January 1, 2014, the federal government will pay 100 percent of defined costhttp://www.hhs.gov/news/press/2013pr es/03/20130329a.htmlhttp://www.cbpp.org/ cms/?fa=viewid=3801 of certain newly eligible adult Medicaid beneficiaries in Medicaid Expansion states https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

59 Medicaid - In Process 1 As of January 2014, confirmed opting out states include Alabama, Alaska, Florida, Georgia, Idaho, Kansas, Louisiana, Maine, Mississippi, Missouri, Montana, Nebraska, New Hampshire, North Carolina, Oklahoma, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Wisconsin Wyoming. States opting in after 2014 are Indiana Pennsylvania.http://kff.org/health- reform/state-indicator/state-activity-around- expanding-medicaid-under-the-affordable- care-act/ https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

60 Medicaid - State implementations 1 States may bundle together the administration of Medicaid with other programs such as the Children's Health Insurance Program (CHIP), so the same organization that handles Medicaid in a state may also manage the additional programs. Separate programs may also exist in some localities that are funded by the states or their political subdivisions to provide health coverage for indigents and minors. https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

61 Medicaid - State implementations 1 There are many services that can fall under Medicaid and some states support more services than other states https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

62 Medicaid - State implementations 1 Most states administer Medicaid through their own programs. A few of those programs are listed below: https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

63 Medicaid - State implementations 1 As of January 2012, Medicaid and/or CHIP funds could be obtained to help pay employer health care premiums in Alabama, Alaska, Arizona, Colorado, Florida, and Georgia. https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

64 Medicaid - Enrollment 1 In 2009, 62.9 million Americans were enrolled in Medicaid for at least one month, with an average enrollment of 50.1 million.http://www.cms.gov/Research- Statistics-Data-and- Systems/Research/ActuarialStudies/downl oads/MedicaidReport2010.pdf In California, about 23% of the population was enrolled in Medi-Cal for at least 1 month in 2009- 10.[http://www.dhcs.ca.gov/dataandstats/st atistics/Documents/2_1_Reporting_Year_F Y2009-10.pdf Medi-Cal Program Enrollment Totals for Fiscal Year 2009-10], California Department of Health Care Services Research and Analytic Studies Section, June 2011 https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

65 Medicaid - Enrollment 1 Medicaid payments currently assist nearly 60 percent of all nursing home residents and about 37 percent of all childbirths in the United States. The federal government pays on average 57 percent of Medicaid expenses. https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

66 Medicaid - Enrollment 1 Loss of income and medical insurance coverage during the 2008 recession|2008- 2009 recession resulted in a substantial increase in Medicaid enrollment in 2009. Nine U.S. states showed an increase in enrollment of 15% or more, resulting in heavy pressure on state budgets.[http://www.nytimes.com/2010/10/01/ health/policy/01medicaid.html Recession Drove Many to Medicaid Last Year] article by Kevin Sack in The New York Times September 30, 2010, accessed October 1, 2010 https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

67 Medicaid - Comparisons with Medicare 1 Unlike Medicaid, Medicare (United States)|Medicare is a social insurance program funded at the federal level[http://www.medicare.gov/LongTermC are/Static/Home.asp Medicare.gov - Long- Term Care] and focuses primarily on the older population https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

68 Medicaid - Comparisons with Medicare 1 Medicaid covers a wider range of health care services than Medicare. https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

69 Medicaid - Comparisons with Medicare 1 Some people are eligible for both Medicaid and Medicare and are known as Medicare dual eligibles.[http://www.cms.hhs.gov/DualEligi ble/ Overview] In 2001, about 6.5 million Americans were enrolled in both Medicare and Medicaid. In 2013, approximately 9 million people qualified for Medicare and Medicaid. https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

70 Medicaid - Eligibility 1 Medicaid was created to help low-asset people who fall into one of these eligibility categories pay for some or all of their medical bills.[http://www.cms.hhs.gov/MedicaidEligi bility/ Medicaid Eligibility: Overview, ] from the Centers for Medicare and Medicaid Services (CMS) website https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

71 Medicaid - Eligibility 1 There are two general types of Medicaid coverage. Community Medicaid helps people who have little or no medical insurance. Medicaid nursing home coverage pays all of the costs of nursing homes for those who are eligible except that the recipient pays most of his/her income toward the nursing home costs, usually keeping only $66.00 a month for expenses other than the nursing home. https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

72 Medicaid - Eligibility 1 While Congress and the Centers for Medicare and Medicaid Services (CMS) set out the general rules under which Medicaid operates, each state runs its own program. Under certain circumstances, an applicant may be denied coverage. As a result, the eligibility rules differ significantly from state to state, although all states must follow the same basic framework. https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

73 Medicaid - Poverty 1 Sebelius|United States Supreme Court ruled that the Federal government must make participation in the expanded Medicaid program voluntary, and several state governments have declared that they will not participate. https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

74 Medicaid - Categories 1 There are a number of Medicaid eligibility categories; within each category there are requirements other than income that must be met. These other requirements include, but are not limited to, assets, age, pregnancy, disability, blindness, income and resources, and one's status as a U.S. citizen or a lawfully admitted immigrant.[http://www.cms.hhs.gov/Medica idEligibility/ Overview] https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

75 Medicaid - Categories 1 The Deficit Reduction Act of 2005 requires anyone seeking Medicaid to produce documents to prove that he is a United States citizen or resident alien. An exception is made for Emergency Medicaid where payments are allowed for the pregnant and disabled regardless of immigration status. Special rules exist for those living in a nursing home and disabled children living at home. A child may be covered under Medicaid if he or she is a U.S. citizen or a permanent resident. https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

76 Medicaid - Categories 1 A child may be eligible for Medicaid regardless of the eligibility status of his parents. Thus, a child may be covered by Medicaid based on his individual status even if his parents are not eligible. Similarly, if a child lives with someone other than a parent, he may still be eligible based on its individual status.[http://www.cms.hhs.gov/MedicaidEl igibility/Downloads/MedicaidataGlance05. pdf CMS.hhs.gov] https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

77 Medicaid - Coverage and Use 1 However, 8 million children remain uninsured, including 5 million who are eligible for Medicaid and SCHIP but not enrolled.[http://www.kff.org/uninsured/uplo ad/7698-05.pdf KFF.org] https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

78 Medicaid - Dental 1 Children enrolled in Medicaid are individually entitled under the law to comprehensive preventive and restorative dental services, but dental care utilization for this population is low. The reasons for low use are many, but a lack of https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

79 Medicaid - Dental 1 Increasing dentists’ participation in Medicaid and SCHIP https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

80 Medicaid - Dental 1 Physicians and dentists attitudes toward Medicaid and Medicaid patients: review of the literature https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

81 Medicaid - HIV 1 More than half of people living with AIDS in the US are estimated to receive Medicaid payments https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

82 Medicaid - Supplemental Security Income Beneficiaries 1 Once someone is approved as a beneficiary in the Supplemental Security Income program they may automatically be eligible for Medicaid coverage (depending on the laws of the state they reside in). https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

83 Medicaid - Assets 1 Both the federal government and state governments have made changes to the eligibility requirements and restrictions over the years https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

84 Medicaid - Five year look-back 1 The DRA created a five-year look-back period. That means that any transfers without fair market value (gifts of any kind) made by the Medicaid applicant during the preceding five years are penalizable. https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

85 Medicaid - Five year look-back 1 The penalty is determined by dividing the average monthly cost of nursing home care in the area or State into the amount of assets gifted. Therefore, if a person gifted $60,000 and the average monthly cost of a nursing home was $6,000, one would divide $6000 into $60,000 and come up with 10. 10 represents the number of months the applicant would not be eligible for medicaid. https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

86 Medicaid - Five year look-back 1 All transfers made during the five-year look-back period are totaled, and the applicant is penalized based on that amount after having already dropped below the Medicaid asset limit. This means that after dropping below the asset level ($2,000 limit in most states), the Medicaid applicant will be ineligible for a period of time. The penalty period does not begin until the person is eligible for medicaid but for the gift.42 U.S.C. 1396p https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

87 Medicaid - Five year look-back 1 Elders who gift or transfer assets can be caught in the situation of having no money but still not being eligible for Medicaid. https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

88 Medicaid - Budget 1 Each state operates its own Medicaid system, but this system must conform to federal guidelines in order for the state to receive matching funds and grants.Puerto Rico is considered a “state” for Medicaid purposes https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

89 Medicaid - Budget 1 [http://hcup- us.ahrq.gov/reports/statbriefs/sb160.jsp] At $8,000, the mean cost per stay billed to Medicaid was $2,000 less than the average cost for all stays. https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

90 Medicaid - Budget 1 Medicaid does not pay benefits to individuals directly; Medicaid sends benefit payments to health care providers. In some states Medicaid beneficiaries are required to pay a small fee (co-payment) for medical services. Medicaid is limited by federal law to the coverage of medically necessary services.Peter W. Adler. [http://www.doctorsopposingcircumcision.o rg/pdf/2011-12_Adler.pdf Is it lawful to use Medicaid to pay for circumcision?] 19 J Law Med 335-353 (2011). PMID 22320007. https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

91 Medicaid - Budget 1 However, this means that the burden of financial responsibility will be placed on 13 million Medicaid recipients who will face a $1.3 billion increase in co-payments over 5 years https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

92 Medicaid - Public health benefits 1 Nevertheless, the study finds evidence that: 1) Hospital use increased by 30% for those with insurance, with the length of hospital stays increasing by 30% and the number of procedures increasing by 45% for the population with insurance; 2) Medicaid recipients proved more likely to seek preventive care https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

93 Health insurance in the United States - Medicare and Medicaid 1 Still, private insurance remained unaffordable or simply unavailable to many, including the poor, the unemployed, and the elderly. Before 1965, only half of seniors had health care coverage, and they paid three times as much as younger adults, despite having lower incomes. Consequently, interest persisted in creating public health insurance for those left out of the private marketplace. https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

94 Health insurance in the United States - Medicare and Medicaid 1 Johnson signed the Medicare and Medicaid programs into law in 1965, creating publicly run insurance for the elderly and the poor https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

95 Health insurance in the United States - Medicaid 1 Medicaid patients increasingly concentrated among physicians https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

96 Health insurance in the United States - Medicaid 1 The federal government will fully fund the expansion of Medicaid initially, with some of the financial responsibility gradually devolving back to the states by 2020. https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

97 Health insurance in the United States - Medicaid 1 In 2011, there were 7.6 million hospital stays billed to Medicaid, representing 15.6% (approximately $60.2 billion) of total aggregate inpatient hospital costs in the United States. https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

98 Abortion in the United States - Medicaid 1 The law requires that states cover abortions under Medicaid in the event of rape, incest, and life endangerment https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

99 Abortion in the United States - Medicaid 1 * 32 states and DC fund abortions through Medicaid only in the cases of rape, incest, or life endangerment. SD covers abortions only in the cases of life endangerment, which does not comply with federal requirements under the Hyde Amendment. IN, UT and WI have expanded coverage to women whose physical health is jeopardized, and IA, MS, UT and VA also include fetal abnormality cases. https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

100 Abortion in the United States - Medicaid 1 * 17 states (AK, AZ, CA, CT, HI, IL, MD, MA, MN, MT, NJ, NM, NY, OR, VT, WA, WV) use their own funds to cover all or most “medically necessary” abortions sought by low-income women under Medicaid, 13 of which are required by State court orders to do so. https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

101 Caid (sport) 1 'Caid' () is the name given to various ancient and traditional Ireland|Irish football games. Caid is now used by people in some parts of Ireland to refer to modern Gaelic football. https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

102 Caid (sport) 1 The word caid originally referred to the football (ball)|ball which was used. It was made out of animal skin, with a natural bladder inside. https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

103 Caid (sport) 1 Caid is believed to have influenced the modern sport of Gaelic football the rules of which were officially published in 1887 and is now organised and governed by the Gaelic Athletic Association (GAA) as an amateur sport. https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

104 Caid (sport) 1 There is some evidence that caid was taken around the world by the Irish diaspora, and some historians argue that it may have also played some part in the origins of Australian rules football, although Relationship between Gaelic football and Australian rules football|such a relationship is controversial and the subject of debate. https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

105 Caid (sport) - History 1 The first recorded mention of football in Ireland was in 1308, when John McCrocan, a spectator at a football game at Newcastle, County Down was charged with accidentally stabbing a player named William Bernard https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

106 Caid (sport) - History 1 Ferris, described two main forms of caid during this period: the field game in which the object was to put the ball through arch- like goals, formed from the boughs of two trees, and; the epic cross-country game which took up most of the daylight hours of a Sunday on which it was played, and was won by one team taking the ball across a parish boundary https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

107 Caid (sport) - History 1 These games appear to have been similar to the traditional Wales|Welsh game of cnapan, which was played by teams of up to 1,000 men from adjacent parishes https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

108 Caid (sport) - History 1 By the late 19th century, caid was in steep decline and was threatened with extinction, spurring the formation of the GAA which published official rules for the game in 1887 also adopting aspects of the earlier codified sport - hurling. https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

109 Nelson Rockefeller - Welfare and Medicaid 1 In the area of public assistance the Rockefeller administration carried out the largest state medical care program for the needy in the United States under Medicaid; achieved the first major decline in New York State's welfare rolls since World War II; required employable welfare recipients to take available jobs or job training; began the state breakfast program for children in low income areas; and established the first state loan fund for nonprofit groups to start day- care centers. https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

110 Flesch-Kincaid Grade Level 1 Peter Kincaid developed the latter for the United States Navy https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

111 Flesch-Kincaid Grade Level - History 1 Other related United States Navy research directed by Kincaid delved into high tech education (for example, the electronic authoring and delivery of technical information); usefulness of the Flesch– Kincaid readability formula; computer aids for editing tests; illustrated formats to teach procedures; and the Computer Readability Editing System (CRES) https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

112 Flesch-Kincaid Grade Level - History 1 The F-K formula was first used by the United States Army for assessing the difficulty of technical manuals in 1978 and soon after became the United States Department of Defense|Department of Defense military standard https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

113 Flesch-Kincaid Grade Level - Flesch–Kincaid Grade Level 1 The Flesch–Kincaid Grade Level Formula instead presents a score as a Education in the United States#School grades|U.S https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

114 Flesch-Kincaid Grade Level - Flesch–Kincaid Grade Level 1 The result is a number that corresponds with a U.S. grade level. The sentence, The Australian platypus is seemingly a hybrid of a mammal and reptilian creature is a 13.1 as it has 26 syllables and 13 words. The different weighting factors for words per sentence and syllables per word in each scoring system mean that the two schemes are not directly comparable and cannot be converted. The grade level formula emphasises sentence length over word length. https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

115 Flesch-Kincaid Grade Level - Flesch–Kincaid Grade Level 1 The lowest grade level score in theory is −3.40, but there are few real passages in which every sentence consists of a single one-syllable word. Green Eggs and Ham by Dr. Seuss comes close, averaging 5.7 words per sentence and 1.02 syllables per word, with a grade level of −1.3. (Most of the 50 used words are Syllable|monosyllabic; anywhere, which occurs 8 times, is the only exception.) https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

116 James O'Keefe - Medicaid videos (summer 2011) 1 In the summer of 2011, O'Keefe released videos purportedly showing Medicaid fraud in offices in six states, including Maine, North Carolina, Ohio, South Carolina, and Virginia https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

117 James O'Keefe - Medicaid videos (summer 2011) 1 A similar video posted on the Project Veritas web site purported to show workers at the Ohio Department of Job and Family Services assisting actors posing as drug dealers in applying for benefits. O'Keefe's fourth Medicaid video, apparently filmed in Richmond, Virginia, was released in July 2011. https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

118 Medicaid expansion 1 healthcare system since the passage of Medicare (United States)|Medicare and Medicaid in 1965. https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

119 Medicaid expansion 1 The ACA was enacted with the goals of increasing the quality and affordability of health insurance, lowering the Health insurance coverage in the United States|uninsured rate by expanding Health insurance in the United States#Public health care coverage|public and Private Option|private insurance coverage, and reducing the costs of healthcare for individuals and the government https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

120 Medicaid expansion 1 However, the Court held that states cannot be forced to participate in the ACA's Medicaid expansion under penalty of losing their current Medicaid funding.Pg 55–58, slip opinion, National Federation of Independent Business v https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

121 Medicaid expansion 1 As of May 2014, approximately 20 million Americans had gained health insurance coverage under the ACA, and the percentage of uninsured Americans dropped from 18% in 2013 to 13.4% in May 2014. https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

122 Medicaid expansion - Overview of provisions 1 The ACA includes numerous provisions that take effect between 2010 and 2020. Policies issued before 2010 are exempted by a grandfather clause from many of the changes to insurance standards, but they are affected by other provisions. Significant reforms, most of which took effect on January 1, 2014, include: https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

123 Medicaid expansion - Overview of provisions 1 * Guaranteed issue prohibits insurers from denying coverage to individuals due to pre-existing conditions, and a partial community rating requires insurers to offer the same premium price to all applicants of the same age and geographical location without regard to gender or most pre- existing conditions (excluding tobacco use). https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

124 Medicaid expansion - Overview of provisions 1 * #Change in insurance standards|Minimum standards for health insurance policies are established. https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

125 Medicaid expansion - Overview of provisions 1 * An #Insurance exchanges and the individual mandate|individual mandate requires all individuals not covered by an Employer-sponsored health insurance|employer sponsored health plan, Medicaid, Medicare (United States)|Medicare or other public insurance programs (such as Tricare) to secure an approved private-insurance policy or Provisions of the Patient Protection and Affordable Care Act#Effective January 1, 2014|pay a penalty, unless the applicable individual has a financial hardship or is a member of a recognized religious sect exempted by the Internal Revenue Service https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

126 Medicaid expansion - Overview of provisions 1 * #Insurance exchanges and the individual mandate|Health insurance exchanges operate as a new avenue by which individuals and small businesses in every state can compare policies and buy insurance (with a government subsidy if eligible) https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

127 Medicaid expansion - Overview of provisions 1 * Low-income individuals and families whose incomes are between 100% and 400% of the federal poverty level will receive subsidy|federal subsidies on a sliding scale if they purchase insurance via an exchange https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

128 Medicaid expansion - Overview of provisions 1 Sebelius, the Supreme Court ruled that states may opt out of the Medicaid expansion, and Medicaid expansion|several have done so. https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

129 Medicaid expansion - Overview of provisions 1 * Reforms to the Medicare (United States)|Medicare payment system are meant to promote greater efficiency in the healthcare delivery system by restructuring Medicare reimbursements from fee-for-service to bundled payments https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

130 Medicaid expansion - Overview of provisions 1 * Businesses which employ 50 or more people but do not offer health insurance to their full-time employees will pay a tax penalty if the government has subsidized a full-time employee's healthcare through tax deductions or other means. This is commonly known as the #Employer mandate and part- time working hours|employer mandate. In July 2013, however, this provision was unilaterally delayed for one year by the Internal Revenue Service. https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

131 Medicaid expansion - Healthcare debate, 2008–10 1 Healthcare reform was a major topic of discussion during the 2008 Democratic presidential primaries https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

132 Medicaid expansion - Healthcare debate, 2008–10 1 After his inauguration, Obama announced to a joint session of Congress in February 2009 his intent to work with Congress to construct a plan for healthcare reform https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

133 Medicaid expansion - Healthcare debate, 2008–10 1 With universal health care|universal healthcare as one of the stated goals of the Obama administration, congressional Democrats and health policy experts like Jonathan Gruber (economist)|Jonathan Gruber and David Cutler argued that guaranteed issue would require both community rating and an individual mandate to ensure that adverse selection and/or Free rider problem|free riding would not result in an Death spiral (insurance)|insurance death spiral; they convinced Obama that this was necessary, and persuaded him to accept congressional proposals that included a mandate https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

134 Medicaid expansion - Healthcare debate, 2008–10 1 However, following the adoption of an individual mandate as a central component of the proposed reforms by Democrats, Republicans began to oppose the mandate and threatened to Filibuster in the United States Senate|filibuster any bills that contained it https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

135 Medicaid expansion - Healthcare debate, 2008–10 1 On December 23, the Senate voted 60–39 to end debate on the bill: a Cloture#United States|cloture vote to end the Filibuster in the United States Senate|filibuster by opponents https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

136 Medicaid expansion - Healthcare debate, 2008–10 1 Several weeks after the vote, on January 19, 2010, Massachusetts Republican Scott Brown was elected to the Senate in United States Senate special election in Massachusetts, 2010|a special election to replace the late Ted Kennedy, having campaigned on giving the Republican minority the 41st vote needed to sustain Republican filibusters https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

137 Medicaid expansion - Change in number of uninsured 1 A July 2012 CBO estimate raised the expected number of uninsured by 3 million, reflecting #Legal challenges|the successful legal challenge to the ACA's expansion of Medicaid. https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

138 Medicaid expansion - Change in number of uninsured 1 Among the people who will remain uninsured: https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

139 Medicaid expansion - Change in number of uninsured 1 * Illegal immigrant population of the United States|Illegal immigrants, estimated at around 8 million—or roughly a third of the 23 million projection—will be ineligible for insurance subsidies and Medicaid. They will also be exempt from the health insurance mandate but will remain eligible for emergency services under provisions in the 1986 Emergency Medical Treatment and Active Labor Act (EMTALA). https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

140 Medicaid expansion - Change in number of uninsured 1 * Citizens not otherwise covered and opting to pay the annual penalty instead of purchasing insurance, mostly younger and single Americans. https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

141 Medicaid expansion - Change in number of uninsured 1 * Citizens whose insurance coverage would cost more than 8% of household income and are exempt from paying the #Overview of provisions|annual penalty. https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

142 Medicaid expansion - Change in number of uninsured 1 * Citizens who live in #State rejections of Medicaid expansion|states that opt out of the Medicaid expansion and who qualify for neither existing Medicaid coverage nor subsidized coverage through the states' new insurance exchanges. https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

143 Medicaid expansion - Change in number of uninsured 1 ACA drafters believed that increasing insurance coverage would not only improve quality of life but also help reduce Medical debt#United States|medical bankruptcies (currently the leading cause of bankruptcy in America) and job lock https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

144 Medicaid expansion - Change in number of uninsured 1 Starting January 1, 2014, state health insurance exchanges will be required to offer a child-only coverage option, and Medicaid eligibility will be made available to 16 million individuals with incomes below 133% of the federal poverty level. https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

145 Medicaid expansion - Change in number of uninsured 1 Under the law, those workers whose employers offer affordable coverage will not be eligible for subsidies in the exchanges https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

146 Medicaid expansion - Change in number of uninsured 1 The Rand Corporation reported that by March 2014: Enrollment in employer- sponsored insurance plans increased by 8.2 million and Medicaid enrollment increased by 5.9 million, although some individuals did lose coverage during this period https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

147 Medicaid expansion - Implementation 1 Early implementation efforts for the healthcare exchanges, especially the exchanges operated by the federal government, have received nearly universally negative reactions in the media and from politicians https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

148 Medicaid expansion - Implementation 1 Various committees in both chambers of Congress have conducted hearings where cyber security concerns related to HealthCare.gov have been discussed. Experts disagree over the extent HealthCare.gov is vulnerable to cyber attacks. https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

149 Medicaid expansion - Implementation 1 As of March 2013, radio ads providing information on the Affordable Care Act have been broadcast in Ojibwe language|Ojibwe, Yupik languages|Yupik, Inupiat language|Inupiat, Lakota language|Lakota and Navajo language|Navajo, according to Indian Country Today Media Network. https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

150 Medicaid expansion - Implementation 1 The House Energy and Commerce Committee reported on April 30, 2014, that 67% of individuals and families who had selected a health plan in the federally facilitated marketplace had paid their first month’s premium; and that 25% of paid enrollees are ages 18 to 34 https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

151 Medicaid expansion - Implementation 1 On July 30, 2014, the Government Accountability Office released a non- partisan study that concluded the administration did not provide effective planning or oversight practices in developing the HealthCare.gov website. https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

152 Medicaid expansion - Coverage for contraceptives 1 One provision in the law mandates that health insurance cover additional preventive care and screenings for women, as specified in regulations to be issued by the Health Resources and Services Administration (HRSA).[https://www.govtrack.us/congress /bills/111/hr3590/text PPACA], 2713,(a)(4) The HRSA guidelines, issued August 1, 2011, included in this mandate [a]ll Food and Drug Administration approved contraception|contraceptive methods, sterilization procedures, and patient https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

153 Medicaid expansion - Coverage for contraceptives 1 education and counseling for all women with reproductive capacity.[http://www.hrsa.gov/womensguid elines/ Women's Preventive Services Guidelines] HRSA, US Department of Health and Human Services This mandate applies to all employers and educational institutions except for religious organizations. These regulations were included on the recommendations of the Institute of Medicine, which concluded that access to contraception is medically necessary to ensure women's health and well-being. https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

154 Medicaid expansion - Coverage for contraceptives 1 The initial regulations proved controversial among certain religious groups, most notably evangelicals and Lutherans, and especially the Roman Catholic hierarchy, whose hospitals, charities and educational institutions of higher learning, as well as other enterprises, oppose contraception on doctrinal grounds https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

155 Medicaid expansion - Coverage for contraceptives 1 The contraception rule has also been challenged by corporations as a burden against their religious expression https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

156 Medicaid expansion - Effects on insurance premiums 1 Several studies on insurance premiums expect that with the subsidies offered under the ACA, more people will pay less (than they did prior to the reforms) than those who will pay more, and that those premiums will be more stable (even in changing health circumstances) and transparent, due to the regulations on insurance https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

157 Medicaid expansion - Effects on insurance premiums 1 For the effect on health insurance premiums, the CBO forecast that by 2016 the individual market would comprise 17% of the market, and that premiums per person would increase by 10% to 13% but that over half of these individuals would receive subsidies that would decrease the premium paid to well below premiums charged under current law https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

158 Medicaid expansion - Effects on insurance premiums 1 Larry Levitt, a health policy analyst from the Kaiser Family Foundation, noted that the individual market compromises a relatively small share of those under 65, and said, in contrast, I don't think anyone expects significant [cost] increases in the employer market, where the majority of Americans get their health insurance https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

159 Medicaid expansion - Effects on insurance premiums 1 In June 2013, a study by the Kaiser Family Foundation focused on actual experience under the Act as it affected individual market consumers (those buying insurance on their own) https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

160 Medicaid expansion - Healthcare cost inflation 1 In a May 2010 presentation on Health Costs and the Federal Budget, the CBO stated that Rising health costs will put tremendous pressure on the federal budget during the next few decades and beyond. In CBO's judgment, the health legislation enacted earlier this year does not substantially diminish that pressure. https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

161 Medicaid expansion - Healthcare cost inflation 1 The CBO further observed that Putting the federal budget on a sustainable path would almost certainly require a significant reduction in the growth of federal health spending relative to current law (including this year's health legislation). and concluded, https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

162 Medicaid expansion - Healthcare cost inflation 1 Jonathan Cohn, a health policy analyst, commented: The law created the Center for Medicare and Medicaid Innovation and requires numerous pilot programs and demonstrations that may affect healthcare costs.Kuraitis V. (2010). [http://e- caremanagement.com/pilots- demonstrations-innovation-in-the-ppaca- healthcare-reform-legislation Pilots, Demonstrations Innovation in the ACA Healthcare Reform Legislation]. e- CareManagement.com. These cost reductions were not factored into CBO cost estimates. https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

163 Medicaid expansion - Healthcare cost inflation 1 The Business Roundtable, an association of CEOs, commissioned a report from the Consultant|consulting company Hewitt Associates which found that the legislation could potentially reduce that trend line by more than $3,000 per employee, to $25,435, with respect to insurance premiums https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

164 Medicaid expansion - Healthcare cost inflation 1 The Centers for Medicare and Medicaid Services reported in 2013 that, while costs per capita continue to rise, the rate of increase in annual healthcare costs has fallen since 2002. Per capita cost increases have averaged 5.4% annually since 2000. Costs relative to GDP, which had been rising, have stagnated since 2009. Several studies have attempted to explain the reduction in the rate of annual increase. Reasons include, among others: https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

165 Medicaid expansion - Healthcare cost inflation 1 * Higher unemployment due to the Great Recession in the United States|2008-2010 recession, which has limited the ability of consumers to purchase healthcare; https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

166 Medicaid expansion - Healthcare cost inflation 1 * Out-of-pocket payments, and deductibles, which constitute the amount an individual pays for their health costs before insurance begins to cover claims, have risen. These rising costs generally cause less consumption of healthcare services. The proportion of workers with employer-sponsored health insurance requiring a deductible climbed to about three-quarters in 2012 from about half in 2006. https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

167 Medicaid expansion - Healthcare cost inflation 1 * Structural changes in the healthcare system made by the ACA that aim to shift the healthcare system from paying-for- quantity to paying-for-quality https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

168 Medicaid expansion - Healthcare cost inflation 1 Uncertainty exists about the extent to which each factor is responsible for the recent reduction in health inflation, and about the durability of the overall trend, including the accompanying reduction in long-term deficit projections due to reduced healthcare costs. However, several studies found that the temporary effects of the recession cannot account for the entirety of the slowdown and that structural changes likely share at least partial credit. https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

169 Medicaid expansion - Healthcare cost inflation 1 One study estimated that the changes to the health system are responsible for about a quarter of the recent reduction in inflation. Paul Krawzak posits that even if cost controls succeed in reducing the amount spent on healthcare, such efforts on their own may be insufficient to outweigh the long-term burden placed by demographic changes, particularly Medicare (United States)#Costs and funding challenges|the growth of the population on Medicare. https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

170 Medicaid expansion - Opinions on CBO projections 1 There was mixed opinion about the CBO estimates https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

171 Medicaid expansion - Opinions on CBO projections 1 The New Republic editors Noam Scheiber and Jonathan Cohn, countered critical assessments of the law's deficit impact, arguing that it is as likely, if not more so, for predictions to have underestimated deficit reduction than to have overestimated it https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

172 Medicaid expansion - Opinions on CBO projections 1 David M https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

173 Medicaid expansion - Changes in existing individual insurance plans 1 At various times during and after the debate surrounding the ACA, Obama stated that if you like your health care plan, you'll be able to keep your health care plan https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

174 Medicaid expansion - Changes in existing individual insurance plans 1 On November 7, 2013, President Obama stated: I am sorry that [people losing their plans] are finding themselves in this situation based on assurances they got from me, and he promised to work to help the affected Americans https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

175 Medicaid expansion - Changes in existing individual insurance plans 1 Whether or not President Obama knew that his statements were incorrect at the time he made them has also become the focus of discussion. https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

176 Medicaid expansion - Clawback controversy 1 The expansion of Medicaid under the Affordable Care Act made more residents eligible for Medicaid https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

177 Medicaid expansion - Public opinion 1 Public opinion polls indicate that the United States public generally supports healthcare reform, but the public's views became increasingly negative in reaction to specific plans discussed during the legislative debate over 2009 and 2010 https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

178 Medicaid expansion - Public opinion 1 Specific elements are very popular across the political spectrum, with the notable exception of the mandate to purchase insurance https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

179 Medicaid expansion - Public opinion 1 Pollsters probed the reasons for opposition https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

180 Medicaid expansion - Public opinion 1 However, part of the opposition to the law is because some Americans believe the reform did not go far enough: A Reuters- Ipsos poll indicated that, for those opposed to the bill, 71% of Republican opponents reject it overall while 29% believed it did not go far enough; independent opponents were divided 67% to 33%; and among the relatively much smaller group of Democratic opponents, 49% reject it overall, and 51% wanted the measure to go further. https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

181 Medicaid expansion - Public opinion 1 Many Democrats believe that the ACA will grow more popular over time, like Medicare did after its implementation, as the benefits of the law take effect and close the information gap about the contents of the bill. https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

182 Medicaid expansion - Public opinion 1 In June 2013, a majority of the public (52– 34%) indicated a desire for Congress to implement or tinker with the law rather than repeal it https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

183 Medicaid expansion - Public opinion 1 The RAND Health Reform Opinion Study for May 1, 2014, showed that 48.9% of respondents had an unfavorable view of the ACA vs. 38.3% who had a favorable view (of more than 5,500 individuals). https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

184 Medicaid expansion - Public opinion 1 Polling averages from RealClearPolitics showed public approval of the ACA as 52.1% against and 38.6% for (poll averages from February 27 to March 25, 2014). https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

185 Medicaid expansion - Public opinion 1 An Associated Press-GfK poll released March 28, 2014 showed that 26% of Americans support the ACA. https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

186 Medicaid expansion - Public opinion 1 A Wall Street Journal/NBC poll released April 30, 2014, indicated that 8% of respondents say that the Affordable Care Act is working well the way it is. https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

187 Medicaid expansion - Term Obamacare 1 The term Obamacare was originally coined by opponents of the Affordable Care Act as a pejorative term for the law https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

188 Medicaid expansion - Term Obamacare 1 By mid-2012, Obamacare had become the most common colloquial term used to refer to the law by both supporters and opponents https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

189 Medicaid expansion - Term Obamacare 1 In October 2013 the Associated Press and NPR began cutting back on use of the term. Stuart Seidel, NPR's managing editor, said that the term seems to be straddling somewhere between being a politically-charged term and an accepted part of the vernacular. https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

190 Medicaid expansion - Death panels 1 On August 7, 2009, Sarah Palin claimed the proposed legislation would create death panels that would decide if sick and elderly Americans were worthy of medical care https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

191 Medicaid expansion - Death panels 1 The death panel misconception distorts separate issues initially related to two proposed provisions found in the early drafts of the ACA https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

192 Medicaid expansion - Exemptions for Congressmen 1 A separate common misconception about the ACA is that members of Congress are exempt from the Act's reforms https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

193 Medicaid expansion - Benefits for undocumented immigrants 1 Another common misconception is that the ACA provides benefits to undocumented immigrants. In fact, the ACA explicitly denies insurance subsidies to unauthorized (illegal) aliens. https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

194 Medicaid expansion - Opposition and resistance 1 Efforts to oppose and repeal the legislation have drawn support from prominent Conservatism in the United States|conservative advocacy groups, Congressional and many state Republicans, certain small business organizations, and the Tea Party movement https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

195 Medicaid expansion - Opposition and resistance 1 Some unions have expressed concerns about the negative impact the ACA will have on their members' health care benefits, including the AFL- CIO, which called the ACA highly disruptive to union health care plans and said it would drive up costs of union-sponsored plans; and International Brotherhood of Teamsters, United Food and Commercial Workers International Union, and UNITE-HERE, leaders of which sent a letter to Harry Reid (D-NV) and Nancy Pelosi (D-CA) stating that the ACA will shatter not only our hard- earned health benefits, but destroy the foundation of the 40 hour work week that is the backbone of the American middle class https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

196 Medicaid expansion - Legal challenges 1 All provisions of ACA will continue in effect or will take effect as scheduled subject to the states' determination on Medicaid expansion. https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

197 Medicaid expansion - Legal challenges 1 The Roman Catholic Church, supportive of ACA objectives, has voiced concern through the USCCB regarding various aspects of the mandate covering artificial contraception and sterilization, and in its view, the narrow definition by United States Department of Health and Human Services|HHS of what constitutes a religious organization as violations of the First Amendment to the United States Constitution|First Amendment right of the exercise of religion and conscience https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

198 Medicaid expansion - Non-cooperation 1 For example, Missouri declined to expand Medicaid or Delay in application of the Individual Health Insurance Mandate|establish a health insurance marketplace but is also engaged in an active program of Nonviolence#Noncooperation|non- cooperation, having enacted a statute forbidding any state or local official to render any aid not specifically required by federal law to the functioning of the Affordable Care Act https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

199 Medicaid expansion - 2013 federal government shutdown 1 Strong partisan disagreement in Congress has prevented adjustments to the Act's provisions. However, at least one change, a proposed repeal of a tax on medical devices, has received bipartisan support. Some Congressional Republicans argue against improvements to the law on the grounds they would weaken the arguments for repeal. https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

200 Medicaid expansion - 2013 federal government shutdown 1 Senate Republicans threatened to block appointments to relevant agencies, such as the Independent Payment Advisory Board and Centers for Medicare and Medicaid Services. https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

201 Medicaid expansion - Repeal efforts 1 The ACA has been the subject of unsuccessful repeal efforts by Republican Party (United States)|Republicans in the 111th United States Congress|111th, 112th United States Congress|112th, and 113th United States Congress|113th Congresses: https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

202 Medicaid expansion - Repeal efforts 1 U.S https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

203 Medicaid expansion - Repeal efforts 1 Following the #Legal challenges|2012 Supreme Court ruling upholding the ACA as constitutional, Republicans held another vote to repeal the law on July 11; the House of Representatives voted with all 244 Republicans and 5 Democrats in favor of repeal—it marked the 33rd, partial or whole, repeal attempt https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

204 Medicaid expansion - Job consequences of ACA 1 The House Republican leadership put forth the argument in favor of repeal that this is a job-killing law, period https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

205 Medicaid expansion - Job consequences of ACA 1 Jonathan Cohn, citing the projections of the CBO, summarized that the primary employment effect of the ACA is to alleviate job lock: People who are only working because they desperately need employer- sponsored health insurance will no longer do so. He concluded that the reform's only significant employment impact was a reduction in the labor force, primarily because people holding onto jobs just to keep insurance could finally retire because they have health insurance outside of their jobs. https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

206 Medicaid expansion - Impact of repeal on federal budget projections 1 In May 2011, the nonpartisan Congressional Budget Office (CBO) analyzed proposals to repeal the law https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

207 Lodune Sincaid 1 'Lodune Sincaid' (born May 7, 1973) is an American professional mixed martial arts|mixed martial artist. He is a former List of WEC champions#Light Heavyweight Championship|WEC Light Heavyweight Champion, and was featured on the Ultimate Fighting Championship|UFC's The Ultimate Fighter 1 reality television|reality show, losing to Bobby Southworth by knockout in the first elimination match of the season. He has also competed in the World Fighting Alliance and Palace Fighting Championship. https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

208 Lodune Sincaid - Background 1 http://www.nwfightscene.com/Lodune- Sincaid.htm Since his last fight, Lodune has been focusing on bettering himself https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

209 Lodune Sincaid - Early career 1 Sincaid made his professional debut in 2001 fighting in small promotions, and started off his career dominating his opponents, achieving a 6-0 record with all of the wins coming by submission or knockout. https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

210 Lodune Sincaid - The Ultimate Fighter 1 The UFC had been following Sincaid's career closely and invited him to compete on the first-ever Ultimate Fighter. He fought for Team Couture, led by Randy Couture, and was eliminated by future List of Strikeforce champions|Strikeforce Light Heavyweight Champion Bobby Southworth by knockout in the first elimination match. https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

211 Lodune Sincaid - The Ultimate Fighter 1 Sincaid was handed his first professional loss at the The Ultimate Fighter 1 Finale against future UFC Middleweight Championship contender Nate Quarry, via TKO due to punches. https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

212 Lodune Sincaid - WEC 1 Sincaid made his debut in the World Extreme Cagefighting|WEC against former List of WEC champions#Heavyweight Championship|WEC Heavyweight Champion James Irvin. Sincaid won the bout via unanimous decision and was then offered an opportunity to fight for the List of WEC champions#Light Heavyweight Championship|WEC Light Heavyweight Championship at WEC 20, and won by a rear-naked choke submission, becoming the new List of WEC champions#Light Heavyweight Championship|WEC Light Heavyweight Champion. https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

213 Lodune Sincaid - WEC 1 Sincaid then lost his next two fights, the first being against Jason Miller|Jason Mayhem Miller at WFA: King of the Streets by a rear-naked choke submission and then in his next fight Sincaid lost the List of WEC champions#Light Heavyweight Championship|WEC Light Heavyweight Championship belt to Doug Marshall by knockout. After his fight with Miller, it was revealed that Sincaid tested positive for marijuana. https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

214 Lodune Sincaid - Post-WEC 1 [http://forums.sherdog.com/forums/f61/lod une-sincaid-suspended-csac-out- tournament-w-jeremy-horn-rory-singer-etc- 2801929/ http://forums.sherdog.com/forums/f61/lodu ne-sincaid-suspended-csac-out- tournament-w-jeremy-horn-rory-singer-etc- 2801929] https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

215 Lodune Sincaid - Mixed martial arts record 1 |Irvine, California, United States https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

216 Lodune Sincaid - Mixed martial arts record 1 |San Angelo, Texas, United States https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

217 Lodune Sincaid - Mixed martial arts record 1 |Frisco, Texas, United States https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

218 Lodune Sincaid - Mixed martial arts record 1 |Lemoore, California, United States https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

219 Lodune Sincaid - Mixed martial arts record 1 |Tacoma, Washington, United States https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

220 Lodune Sincaid - Mixed martial arts record 1 |Decision (unanimous) https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

221 Lodune Sincaid - Mixed martial arts record 1 |Portland, Oregon, United States https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

222 Lodune Sincaid - Mixed martial arts record 1 |Submission (rear-naked choke) https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

223 Lodune Sincaid - Mixed martial arts record 1 |Los Angeles, California, United States https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

224 Lodune Sincaid - Mixed martial arts record 1 |Sincaid tested positive for marijuana https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

225 Lodune Sincaid - Mixed martial arts record 1 | Decision (unanimous) https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

226 Lodune Sincaid - Mixed martial arts record 1 |X Fighting Championships: Dome of Destruction 3 https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

227 Lodune Sincaid - Mixed martial arts record 1 |Universal Above Ground Fighting: Ultimate Cage Fighting 4 https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

228 Lodune Sincaid - Mixed martial arts record 1 |Upland, California, United States https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

229 Lodune Sincaid - Mixed martial arts record 1 |Reality Submission Fighting: Shooto Challenge https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

230 Lodune Sincaid - Mixed martial arts record 1 |Belleville, Illinois, United States https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

231 Lodune Sincaid - Mixed martial arts record 1 |Hollywood, California, United States https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

232 Lodune Sincaid - Mixed martial arts record 1 |California, United States https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

233 National Federation of Independent Business v. Sebelius - Medicaid expansion 1 On the question of the expansion of Medicaid, no single opinion commanded the support of a majority of the Justices. However, a majority of the Court did find the expansion in some way unconstitutionally coercive and severed the coercive mechanism from the act. https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

234 National Federation of Independent Business v. Sebelius - Medicaid expansion 1 * Chief Justice Roberts, joined by Justices Breyer and Kagan, would have ruled that the Medicaid expansion could survive, but that states must be given the right to opt out of the expansion without losing their pre-existing Medicaid funding.slip op, opinion of Roberts, CJ, section V https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

235 National Federation of Independent Business v. Sebelius - Medicaid expansion 1 * Justice Ginsburg, joined by Justice Sotomayor, would have upheld the Medicaid expansion in its entirety (with non-participating states losing all their federal Medicaid funding).slip op., opinion of Ginsburg J., section V https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

236 National Federation of Independent Business v. Sebelius - Medicaid expansion 1 * Justices Scalia, Kennedy, Thomas, and Alito would have struck down the Medicaid expansion completely (along with the entire Act). https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

237 National Federation of Independent Business v. Sebelius - Medicaid expansion 1 Constitutional scholars have questioned whether Roberts's view that states must be given the right to opt out without losing their pre-existing Medicaid funding constitutes a Holding (law)|holding of the court, given that it only attracted three justices, with the additional four justices objecting to the entire Medicaid provision in dissent but not joining Roberts's opinion.[http://www.volokh.com/2012/07/02/w hat-did-the-court-hold-about-the-commerce- clause-and-medicaid/ What did the court hold about the commerce clause and medicaid?] https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

238 Center for Medicare and Medicaid Innovation 1 The center is to test innovative payment and delivery system models that show important promise for maintaining or improving the quality of care in Medicare (United States)|Medicare, Medicaid, and the Children's Health Insurance Program (CHIP), while slowing the rate of growth in program costs https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

239 Great Society - Medicaid 1 In 1966 welfare recipients of all ages received medical care through the Medicaid program. Medicaid was created on July 30, 1965 under Title XIX of the Social Security Act of 1965. Each state administers its own Medicaid program while the federal Centers for Medicare and Medicaid Services (CMS) monitors the state-run programs and establishes requirements for service delivery, quality, funding, and eligibility standards. https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

240 Washington Healthplanfinder - Approved Medicaid companies 1 * Community Health Plan of Washingtonhttp://www.chpw.org Community Health Plan of Washington https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

241 Angel Mounds - Kincaid Focus 1 Most striking are the comparisons between the Kincaid and Angel sites, which include analogous site plans, stylistic similarities in artifacts, and geographic proximity https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

242 Angel Mounds - Kincaid Focus 1 The 300-400 year span in which these types of artifacts and sites are found is called the “Angel Phase”. It is broken up into three subphases: https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

243 Angel Mounds - Kincaid Focus 1 Some common pottery styles found in these sites include: Angel Negative Painted, Kincaid Negative Painted, and Matthews Incised https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

244 Tom Coburn - Allegations of non-consensual sterilization and Medicaid fraud 1 A Human sterilization (surgical procedure)|sterilization Coburn performed on a 20-year-old woman, Angela Plummer, in 1990 became what was called the most incendiary issue of his Senate campaign https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

245 Tom Coburn - Allegations of non-consensual sterilization and Medicaid fraud 1 Medicaid did not reimburse doctors for sterilization procedures for patients under 21 and according to the attorney general, Coburn would not have been reimbursed at all had he not withheld this information https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

246 Kincaid Mounds State Historic Site 1 Kincaid Mounds has been notable for both its significant role in native Precolumbian#North America|North American prehistory and for the central role the site has played in the development of modern archaeology#Methods|archaeological techniques https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

247 Kincaid Mounds State Historic Site - Introduction 1 The site was declared a National Historic Landmark in 1964 for its significance as a major Indigenous peoples of the Americas|Native American mound center and prehistoric trading post along the Ohio River. https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

248 Kincaid Mounds State Historic Site - Introduction 1 Adjacent to the Ohio River, the site straddles the modern-day counties of Massac County, Illinois|Massac County and Pope County, Illinois|Pope County in deep southern Illinois, an area colloquially known as Little Egypt (region)|Little Egypt https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

249 Kincaid Mounds State Historic Site - Introduction 1 The Illinois Historic Preservation Agency owns and operates an area including several mounds in Massac County. This includes the majority of the estimated area contained within a wooden palisade, as well as an undefined area of additional occupation to the west. The Pope County portion is privately owned. https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

250 Kincaid Mounds State Historic Site - Introduction 1 Mounds Lost and Found: New Research at the Kincaid Site https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

251 Kincaid Mounds State Historic Site - History of Kincaid 1 The Chicago excavators in the 1930s documented a prehistory in the Kincaid area stretching back thousands of years, into what is now known as the Archaic period in the Americas|Archaic Period (8000 BCE to 2000 BCE) https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

252 Kincaid Mounds State Historic Site - History of Kincaid 1 The Baumer occupation at Kincaid was shown to be extensive. https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

253 Kincaid Mounds State Historic Site - History of Kincaid 1 Kincaid was a near neighbor of Cahokia, only away, and is thought to have been influenced by developments there https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

254 Kincaid Mounds State Historic Site - History of Kincaid 1 In the 1930s, the Chicago team excavated a major burial mound, Pope Mound 2, yielding further evidence for hierarchical social structures and showing that Kincaid was a chiefdom https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

255 Kincaid Mounds State Historic Site - History of Kincaid 1 Mississippian-culture occupation at the site appears to have ended by 1400-1450 CE. No documented occupation by historic Indigenous peoples of the Americas|Native American tribes exists. The site was evidently abandoned, perhaps because of exhaustion of timber and game resources. It remained uninhabited until the arrival of American settlers three centuries later. Most arrived more than 400 years after the site was abandoned. https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

256 Kincaid Mounds State Historic Site - Kincaid Focus 1 Most striking are the comparisons between the Kincaid and Angel sites, which include analogous site plans, stylistic similarities in artifacts, and geographic closeness https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

257 Kincaid Mounds State Historic Site - Kincaid Focus 1 Some common pottery styles found in these sites include: Angel Negative Painted, Kincaid Negative Painted, and Matthews Incised https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

258 Foster Care Independence Act - Medicaid provisions 1 The Act also increases health care options for youth aging out of foster care by making changes to the Medicaid law permitting states to provide Medicaid coverage to youth upon aging out of foster care, up to the age of 21. Provisions also allow for former foster youth who are considered low income to be provided with Medicaid coverage by permitting foster youths to have assets up to $10,000 without compromising their assistance. https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

259 Bill Kincaid 1 'William S. Bill Kincaid' (born March 10, 1956) is an United States|American computer engineer and entrepreneur notable for creating the MP3 player SoundJam MP with Jeff Robbin that was eventually bought by Apple, Inc.|Apple and renamed iTunes. https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

260 Bill Kincaid 1 Robbin and Kincaid worked for Apple in the 1990s as system software engineers on their operating system project Copland (operating system)|Copland; the project was later abandoned. Both left Apple, where Robbin created Conflict Catcher and Kincaid worked at a startup. https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

261 Bill Kincaid 1 After listening to a show on the radio channel NPR, Kincaid created hardware and device driver support for the Diamond Multimedia|Diamond Rio (digital audio players)|Rio line of digital audio players. He then enlisted Jeff Robbin to develop the front-end for an MP3-playing software they named SoundJam MP. Dave Heller completed the core team. The three chose Casady Greene as distributor, whom Jeff had previously worked with to distribute Conflict Catcher. https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

262 Bill Kincaid 1 The software saw early success in the Mac music player market, competing with Panic (company)|Panic's Audion (software)|Audion. https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

263 Bill Kincaid 1 In early 2000 Apple was looking to purchase an MP3 player and approached both Casady Greene (SoundJam) and Panic (Audion). Because Panic was caught up in negotiations with AOL, the meeting never took place.[http://panic.com/extras/audionstory/ The True Story of Audion] Turning to Casady Greene, Apple purchased the rights to the SoundJam software in a deal covered by a two-year secrecy clause. https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

264 Bill Kincaid 1 Think Secret - [http://web.archive.org/web/200801160942 12/http://www.thinksecret.com/news/wsjca sadygreene.html WSJ: Casady Greene forbidden from discussing iTunes deal] https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

265 Bill Kincaid 1 SoundJam MP was renamed iTunes. Jeff, Bill, and Dave became the original developers of the software. All three continue to work at Apple, with Jeff as the current lead developer of iTunes.[http://www.wired.com/gadgets/mac /commentary/cultofmac/2006/10/71956 Wired, Straight Dope on the IPod's Birth][http://money.cnn.com/magazines/fort une/fortune_archive/2005/02/21/8251769/i ndex.htm CNNMoney, How Big Can Apple Get] https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

266 Bill Kincaid 1 In his spare time, he enjoys racing. In a racing profile, he says “A buddy and I wrote Apple's iTunes software and helped develop the iPod and the Apple music store. It wouldn't have happened if I hadn't heard about MP3 on the radio on the way to a race...” https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

267 List of Scream characters - Mark Kincaid 1 Mark Kincaid is a detective investigating the most recent Ghostface murders. He displays an interest in horror films, and in the history of Sidney Prescott. When Sidney is forced to confront the killer, Kincaid is concerned for her and secretly follows her. Kincaid is attacked and severely wounded by Ghostface. After Ghostface is killed, he and Sidney enter into a romantic relationship. https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

268 Georgina Kincaid 1 'Georgina Kincaid' is an urban fantasy book series comprising six novels written by Richelle Mead. The series is written in a first-person perspective following the main character, Georgina Kincaid, who is a succubus with a heart working at a local book store, Emerald City Books Cafe. https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

269 Georgina Kincaid - Publication dates 1 # Succubus Heat Richelle Mead's urban fantasy series featuring shape-shifting demon Georgina Kincaid take off; its fourth book, Succubus Heat, comes out in June. https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

270 Georgina Kincaid - Succubus Blues 1 It introduces the character of Georgina Kincaid, an immortal (though still very human) succubus, her coworkers at her human job, and her damned co-workers at her real job https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

271 Georgina Kincaid - Succubus Blues 1 Film rights for Succubus Blues have been sold to Fox TV. https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

272 Georgina Kincaid - Succubus on Top 1 Georgina Kincaid's job sucks. Literally. https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

273 Georgina Kincaid - Succubus on Top 1 Love hurts, and no one knows it better than Georgina Kincaid https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

274 Georgina Kincaid - Succubus on Top 1 It’s not just her personal life that’s in chaos https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

275 Georgina Kincaid - Succubus Dreams 1 Succubus Dreams is the third novel in the series. https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

276 Georgina Kincaid - Succubus Dreams 1 First, Georgina Kincaid, a shape-shifting succubus who gets her energy from seducing men, can't have sex with her gorgeous bestselling author boyfriend Seth Mortensen—in case she inadvertently kills him https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

277 Georgina Kincaid - Succubus Heat 1 Succubus Heat is the fourth novel in the series. RT Book Reviews found it amusing but said the plot dragged; they awarded 3 stars. It was 4th equal in Publishers Weekly's BHB Reader’s Choice Best Books of 2009. https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

278 Georgina Kincaid - Succubus Shadows 1 Succubus Shadows is the fifth novel in the series. https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

279 Georgina Kincaid - Succubus Revealed 1 Succubus Revealed is the sixth novel in the series. https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

280 Georgina Kincaid - Succubus Revealed 1 In this book Georgina discovered that her contract was void because Seth turned out to be her husband from her first marriage and that violated her and Seth's contract. In the end Roman sacrificed himself for Georgina to go free and it was Yasmine who decided that the contract was void in the court of hell. Seth and Georgina got back their souls and got married. As it turned out Carter's assignment was to save Georgina's soul. https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

281 Georgina Kincaid - City of Demons 1 City of Demons is a Novella|novella in the Georgina Kincaid series. It is found in the anthology, Eternal Lover and takes place between the second (on Top) and third (Dreams) titles.[http://www.richellemead.com/books/ anthologies.htm Anthologies] - Richelle Mead's website https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

282 The Sims Life Stories - Dylan Kincaid 1 Riley's ex-boyfriend from high school who tries to patch things over with her https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

283 Elder law (Massachusetts) - Medicaid Planning (MassHealth) 1 Applicants must demonstrate both a health need and a financial need for MassHealth (Medicaid) https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

284 Elder law (Massachusetts) - Medicaid Planning (MassHealth) 1 In general, financial eligibility depends on a showing of countable assets less than a certain threshold ($2,000 in 2006) https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

285 Richelle Mead - Georgina Kincaid series 1 # Succubus Blues (February 27, 2007): Nominee - 2007 Reviewers' Choice Awards - Best Urban Fantasy Novel https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

286 List of Borderlands characters - Marcus Kincaid 1 'Marcus Kincaid' (voiced by Bruce DuBose) is a merchant and entrepreneur who runs Marcus Munitions, Pandora and Elpis's leading supplier of guns https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

287 List of Borderlands characters - Marcus Kincaid 1 Marcus runs the gun-dispensing vending machines in Borderlands and Borderlands 2, as well a bus service in Borderlands that brings the Vault Hunters to the town of Fyrestone in the beginning of the game https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

288 Florida Medicaid waiver 1 Government of Florida|Florida has several 'Medicaid Waiver' Programs. Medicaid Waiver Programs allow recipients to 'waive' institutionalization and instead choose to direct services to assist them to live in the community. Waiver program services may offer additional supports and services than provided by traditional Medicaid. https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

289 Florida Medicaid waiver - The HCBS/DD Waiver Program 1 The Home and Community Based Services Waiver, also called the HCBS/DD Waiver or Big Waiver, is one of Florida's Medicaid Waiver Programs that assists people who have disabilities. These disabilities include: Cognitive dysfunction|Cognitive Impairments, Spina Bifida, Cerebral Palsy, Prader-Willi syndrome, Down Syndrome, and Autism. The HCBS/DD medicaid waiver program helps cover the cost for things that regular medicaid does not pay for. https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

290 Florida Medicaid waiver - The HCBS/DD Waiver Program 1 The HCBS Waiver currently has 28 services[http://www.flddresources.org./htm l/service_descriptions.htm Florida resources index] and there is a spending cap based on the individuals needs. However, services must be medically necessary. https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

291 Florida Medicaid waiver - The HCBS/DD Waiver Program 1 Individuals that meet the following criteria are eligible to receive services under the Home and Community Based Services Waiver: https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

292 Florida Medicaid waiver - The HCBS/DD Waiver Program 1 * Be a U.S. citizen or qualified noncitizen https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

293 Florida Medicaid waiver - The HCBS/DD Waiver Program 1 * Disclose any rights to third party liability (i.e., health insurance) https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

294 Florida Medicaid waiver - The HCBS/DD Waiver Program 1 * Meet the income limit of $2022 for an individual or $4044 for a couple https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

295 Florida Medicaid waiver - The HCBS/DD Waiver Program 1 * Meet the asset limit of $2000 for an individual or $3000 for an eligible couple https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

296 Florida Medicaid waiver - The HCBS/DD Waiver Program 1 * If your monthly income exceeds $2022/month you still can benefit from Medicaid Diversion by setting up an income trust. This is a legal document and it must be done by an attorney https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

297 Florida Medicaid waiver - The HCBS/DD Waiver Program 1 In 2012 there was a waiting list of over 22,000 people for this waiver.[http://apd.myflorida.com/about/get- the-facts.htm APD Get the Facts | For more information and to file a Waiver application, contact your local area Agency for Persons with Disabilities office] Some of the people on the waiting list receive services from the FSL waiver. https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

298 Florida Medicaid waiver - The FSL Waiver Program 1 The Florida Supported Living Waiver, also called the FSL Waiver or Little Waiver is another Florida Medicaid Waiver Program https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

299 Florida Medicaid waiver - Support Coordination 1 Support Coordinators for the HCBS and FSL Waiver Programs assist people who have disabilities in accessing supports and services. Natural resources are used whenever possible. Florida Medicaid is The Payer of Last Resort. https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

300 Florida Medicaid waiver - Support Coordination 1 The rate for support coordination was reduced in 2011. The highest rate paid over the 18 years of the waiver was $161.60 per month, for each person served. The current rate is $125.71 per month for adults and for children living in group homes, and $62.86 for children living in family homes. Support Coordinators are on call 24/7. The average caseload size has changed. The high of 40 was reached in 1991; the low, 36. https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

301 Florida Medicaid waiver - Support Coordination 1 The maximum number of individuals served by a single support coordinator is 43 full-time recipients.Adults count as 1 full-time recipient and children a half time recipient. https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

302 Florida Medicaid waiver - Support Coordination 1 With the change in rates and caseload came changes as to the minimum frequency of visits https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

303 Florida Medicaid waiver - History 1 Prior to Medicaid Waiver Programs, many people who had disabilities were served in nursing homes or institutions. The HCBS and FSL Waivers help people to live in their communities by proving supports and services to people who live in the community. It is believed that it is less expensive for people to receive services in the community, rather than in a nursing home or an institution. https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

304 Amanda Krueger - Roland Kincaid 1 Kincaid is aggressive and resistant to being sedated, often being locked in solitary confinement and singing songs to try to stay awake https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

305 Amanda Krueger - Roland Kincaid 1 In A Nightmare on Elm Street 4, Kincaid leaves the hospital after the nightmares stop and attempts to get on with his life but Freddy is able to once again return, capturing Kincaid in a dream and murdering him. https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

306 List of Beverly Hills, 90210 characters - Gina Kincaid 1 Vanessa Marcil portrays Gina Kincaid (Seasons 9-10), a former ice skating champion with a bad attitude and an unfairly traumatic past who got fired from her ice show position and stayed with her cousin Donna https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

307 Milieu (organized crime in France) - Les Caïds Des Cités 1 These are the organized criminal groups that have more recently appeared in the suburbs of most major French cities.http://www.leparisien.fr/faits- divers/les-caids-des-cites-nouveaux-rois- du-milieu-marseillais-02-04-2010- 871509.php The criminal organizations are predominantly formed by French Maghrebis (Kabyle people|Algerians, Tunisians and Rifian people|Moroccans) and to a lesser extent French Blacks, Sinti|Manouche and Yeniche people|Yeniche Travellers living in these impoverished suburbs are increasingly involved in these gangs as well.http://www.lefigaro.fr/magazine/20070 615.MAG000000445_guerre_des_dealers _dans_une_cite_interdite.htmlhttp://www.l efigaro.fr/actualite- france/2010/08/04/01016- 20100804ARTFIG00535-les-caids-de-cite- succedent-aux-italo- grenoblois.phphttp://cites2grenoble.skyroc k.com/1349293262-A-Grenoble-Caid-de- cites-et-manouches-s-affrontent-dans-une- guerre.html https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

308 Milieu (organized crime in France) - Les Caïds Des Cités 1 They are known for their involvement in drug trafficking, weapons trafficking, and murder. Although they are not as secretive as the Corsican gangs, they are just as ruthless. Recently a number of murders (mostly committed with AK-47s) and torture, including setting rivals on fire, in Marseille can be attributed to an intense drug war between organized criminal gangs from the suburbs.http://www.ibtimes.co.uk/articles/379 072/20120830/marseille-drug-war-killings- kalashnikov-government-refuses.htm https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

309 Milieu (organized crime in France) - Les Caïds Des Cités 1 Les caids des cités are said to be taking the place the traditional criminals used to have in the French Riviera over control of drug trafficking. https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html

310 For More Information, Visit: https://store.theartofservice.co m/itil-2011-foundation- complete-certification-kit- fourth-edition-study-guide- ebook-and-online-course.html https://store.theartofservice.co m/itil-2011-foundation- complete-certification-kit- fourth-edition-study-guide- ebook-and-online-course.html The Art of Service https://store.theartofservice.com


Download ppt "CAID https://store.theartofservice.com/itil-2011-foundation-complete-certification-kit-fourth-edition-study-guide-ebook-and-online-course.html."

Similar presentations


Ads by Google