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Health department outlines reimbursement models for Health Assurance program after budget cut
Summary
Prince George's County Health Department presented administrative requirements and three reimbursement models to stretch a reduced Health Assurance fund; FQHC representatives said current reimbursement likely undercuts true clinic costs and urged robust data collection and enrollment planning.
The Prince George's County Health Department presented administrative procedures and three reimbursement models for the Health Assurance program after county funding was reduced to $2,000,000 (from a previously discussed $5,000,000). The department recommended standard operating procedures for provider agreements, patient eligibility, claims review and quarterly audits.
Health department staff said the current program is a reimbursement model and proposed establishing provider participation procedures, annual provider compliance attestations, a uniform patient eligibility form documenting county residency and income, monthly…
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