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The amount, duration, and scope of each service must be sufficient to reasonably achieve its purpose. The states may place appropriate limits on a Medicaid service based on such criteria as medical necessity. Although a State’s Medicaid plan must allow for the applicant to choose their own health care providers that are participating with Medicaid...
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Also the States may provide and pay for the services through various prepayment arrangements, such as health maintenance organization, also known as HMOs. HMO is a health plan that is also involved in how your health care is delivered. Managed care refers to health plans coordinating your health care with you and the providers that participate in the health plan...
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medicaid variations in the united states
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