New information mixture Medicaid protection standards and present broad variation in state protection for podiatric care
New data released today on LawAtlas.org, detailing details of government Medicaid coverage for podiatry care, shows that government Medicaid coverage for podiatric services varies widely across countries.
These data fill an information vacuum about the variation in who is covered; Which services are covered? What steps might a recipient need to take to receive care? How much money does the beneficiary have to contribute to cover their care costs, if any? and how much doctors can expect from reimbursed care.
This information was previously distributed through laws, administrative regulations, agency documents, fee plans, provider manuals, beneficiary information materials and websites.
“This lack of standardization has been problematic because it is extremely difficult for researchers and policy makers to compare coverage and results in one state against another. It is often a challenge to just locate coverage information in a single state “said Senior Researcher Tom Brewer, Ph.D., MJur, CHC, CPHLR Fellow and Associate Professor of Health Policy and Management at Kent State University. “By putting the data in one place, we are able to more accurately and effectively examine the relationships between podiatric care and improved clinical outcomes and cost savings.”
The data, available for free on LawAtlas.org and generated using policy monitoring, includes state-level laws, regulations, and program documents listing Medicaid’s government coverage systems for podiatric care as of October 1, 2020.
Further results are:
- Nine jurisdictions do not offer Medicaid coverage for podiatric care beyond federal minimum requirements.
- Of the 42 states that generally offer podiatric coverage, 25 have laws that specifically require prior approval for Medicaid coverage of podiatric services, and 19 have laws that have some form of co-payment related to Medicaid podiatric coverage Prescribe services.
“This project originated in what was called the Great Recession in 2007 when we saw cuts in Medicaid coverage for podiatry services. Many budgets have been restored over the past decade, but now, with the COVID-19 pandemic, we are seeing states are starting to cut again, “Brewer explained. “There is growing evidence of the importance of providing podiatric care, especially for low-income people who have disproportionately high levels of chronic diseases such as diabetes, which often affect the feet.”
Medicaid’s expansion into holdout states could insure 3.9 million
Brewer, T. Temple University Center for Public Health Law Research Policy Monitoring Program. lawatlas.org/datasets/medicaid … a national survey
This study was funded by the Podiatry Foundation.
Provided by the Temple University Center for Public Health Law Research
Quote: New data aggregates Medicaid coverage criteria and shows large differences in government coverage for podiatric care (2020, October 2), posted on October 2, 2020 from https://medicalxpress.com/news/2020-10-aggregate- medicaid-coverage-criteria- were obtained. wide.html
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