This resource serves as a comprehensive guide for healthcare professionals operating within the state. It outlines the policies, procedures, and regulations governing the provision of medical services to individuals enrolled in the state’s healthcare program for eligible low-income residents. The document details requirements for enrollment, billing, covered services, and quality assurance measures.
Adherence to the guidelines outlined in this document is crucial for ensuring accurate claims submission, timely reimbursement, and compliance with state and federal regulations. It promotes transparency and accountability within the healthcare system, facilitating access to necessary medical care for beneficiaries while safeguarding public funds. Furthermore, it reflects ongoing updates and revisions to healthcare laws and best practices, keeping providers informed and compliant. Its evolution mirrors changes in healthcare delivery models and legislative mandates.