[word=Medicaid | lemma=enrollee] □ □
[word=Medicaid | lemma=enrollee] [□] □
[word=Medicaid | lemma=enrollee] □* □
d. Provide to the commissioner by facsimile a copy of the notices sent to the enrollee and to the selected independent review entity . They also may choose to limit the growth of Medicaid or to expand spending to reduce the number of uninsured low-income people . The federal government also provides funding to the States to conduct on-site inspections of nursing homes participating in Medicare and Medicaid and to recommend sanctions against those homes that violate health and safety rules . It features consumer-oriented care coordination and counseling services , available not only to enrollees but to qualified relatives of enrollees ( spouses , parents , in-laws and unmarried children over 18 of federal employees , and spouses of retirees ) . Congress gave states the option and flexibility to expand Medicaid or to develop new insurance programs based on private market models . There has been no discrimination against Negro enrollees but to the contrary , as stated above , the total percentage of Negro enrollees at the present time is larger than at any time singe this work started . Primary care case management programs ( PCCM ) are a form of managed care that gained popularity in the 1980s as a way to improve access and quality of care for Medicaid enrollees and to reduce program costs . Many such policies are based on the financial status of the patient , such as refusal to accept Medicaid or to use a sliding fee schedule . Maine 's demonstration project also features a buy-out provision that permits the state to determine whether it is more cost-effective to enroll eligible individuals in Medicaid or to pay the premiums and cost sharing associated with available private employer-based coverage . The AAMC believes that , given the relationship between risk plan participation and payment rates , managed care plans have used the mission-related payments embedded in the AAPCC rates for other than their intended purposes , namely to provide extra benefits to enrollees and to increase operating profits beyond the normal rate of return that Medicare incorporated in the rate setting process . The OMPP will use this information to evaluate access to care and quality of services provided to enrollees and to evaluate providers regarding their practice patterns . Although there is limited quantitative research to assess the impact of state efforts , early reports indicate that DM programs have contributed to quality improvements in Medicaid and to some cost savings . Also , since the network will be nonexclusive , its members will be free to continue to participate in competing networks and panels serving managed care enrollees and to join as many additional networks and panels as they please . The BHOs are also obligated to provide medical transportation for enrollees and to conduct outreach . By contrast , the Partnership effort was intended to avoid present recipients and those currently eligible for Medicaid and to seek out possible purchasers " years in advance of the need for long term care . She stops at the drug store , using her Access Card to verify her eligibility for Medicaid and to pay for additional items . The federal government , through the Medicare and Medicaid programs , provides funding to the states to conduct on-site inspections of nursing homes participating in Medicare and Medicaid and to recommend sanctions against those that are violating health and safety rules .