guam medicare

The primary types of waivers and demonstration projects include section 1115 demonstrations, section 1915(a) and 1915(b) managed care waivers, and section 1915(c) home and community-based services waivers. If you have a hard time affording health coverage and you have questions about eligibility for Medicaid or current Medicaid benefits, go to: Guam Department of Public Health and Social Services The new consumer protections and benefits of the Affordable Care Act still apply to you. Los Angeles Regional Office Pasadena, CA 91106 1055 East Colorado Blvd, Suite 200 1240 Route 16 Senior Litigation Counsel John A. Michelich and Trial Attorney Michael McCarthy of the Criminal Division’s Fraud Section and First Assistant U.S. Attorney Marivic David of the District of Guam and the Northern Mariana Islands prosecuted the case. Bureau of Health Care Financing Administration Guam’s Medicaid program does not administer a Medicare Part D Plan; the Medicaid program receives an additional grant through the Enhanced Allotment Plan … If you need health insurance, be sure to check out HealthCare.gov’s Plan Finder. 123 Chalan Kareta, Mangilao GU 96913 P.O. If you have questions about your health insurance that are not covered by the above resources, call the Health Insurance Assistance Team of the U.S. Center for Consumer Information and Insurance Oversight at (888) 393-2789.

Currently, Guam has no demonstrations or waivers. An official website of the United States government. Two owners of Guam Medical Transport (GMT) were sentenced to prison terms today for their roles in a health care fraud and money laundering scheme that resulted in a loss to the United States of approximately $10.8 million, one of the largest single Medicare ambulance fraud cases ever prosecuted by the Justice Department. Barrigada, Guam 96913 Mailing Address: P.O.

As always, states amend their Medicaid and CHIP state plans in order to inform CMS of programmatic and financing changes and to secure legal authority for those changes. It is a 100% fee-for-service delivery system with one hospital currently servicing the territory. Guam Memorial Hospital Authority Acute Care Hospital (Medicare Certified) Location: 85o Gov Carlos G Camacho Road, Tamuning, Guam 96913 Ratings:NA Phone: (671) 647-2552 .


The state Medicaid and CHIP plans spell out how each state has chosen to design its program within the broad requirements for federal funding. A lock (LockA locked padlock) or https:// means you’ve safely connected to the .gov website. States had the opportunity to design their CHIP programs (PDF 216.11 KB) as an expansion of Medicaid, as a stand-alone program or through a combined approach. States have choices in their approach to delivery system design under the Medicaid and CHIP programs. As a result there has been a great deal of state plan amendment activity over the past several years in the areas of eligibility, benefits design and financing, as well as new approaches to providing health homes, long-term services and supports, and enrollment strategies like hospital presumptive eligibility. Judge Tydingco-Gatewood also ordered the defendants to pay $10,884,964.49 in restitution and to forfeit the same amount. According to their admissions at the plea hearing, from approximately March 11, 2010, to approximately March 21, 2014, the defendants engaged in a conspiracy to defraud Medicare and TRICARE by submitting claims for reimbursement for medically unnecessary ambulance services that GMT provided to patients with ESRD. Through Section 1108 of the Social Security Act (SSA), each territory is provided base funding to serve their Medicaid populations. Since its inception in March 2007, the Medicare Fraud Strike Force, which maintains 15 strike forces operating in 24 districts, has charged more than 4,200 defendants who have collectively billed the Medicare program for approximately $19 billion. This case was investigated by the FBI, IRS and HHS-OIG. Share sensitive information only on official, secure websites. Currently, Guam has no online Medicaid/CHIP application. The Medicaid program in Guam differs from Medicaid programs operating in each of the 50 states and the District of Columbia. Phone: (671) 735-7224/7302
The Affordable Care Act included many new opportunities for states to augment and improve their Medicaid and CHIP programs. Guam has elected to operate a title XXI funded Medicaid Expansion program. Medicaid/MIP Off-Island Referral Office Box 23607 7500 Security Boulevard, Baltimore, MD 21244, http://www.dol.gov/ebsa/consumer_info_health.html, Information Related to COVID–19 Individual and Small Group Market Insurance Coverage, FAQs on Essential Health Benefits Coverage and the Coronavirus (COVID-19), FAQs on Catastrophic Plan Coverage and the Coronavirus Disease 2019 (COVID-19), FAQs on Availability and Usage of Telehealth Services through Private Health Insurance Coverage in Response to Coronavirus Disease 2019 (COVID-19), Payment and Grace Period Flexibilities Associated with the COVID-19 National Emergency, FAQs on Prescription Drugs and the Coronavirus Disease 2019 (COVID-19) for Issuers Offering Health Insurance Coverage in the Individual and Small Group Markets, FAQs about Families First Coronavirus Response Act and the Coronavirus Aid, Relief, and Economic Security Act Implementation, Postponement of 2019 Benefit Year HHS-operated Risk Adjustment Data Validation (HHS-RADV). GMF, Guam 96921 Guam Medicare Advantage Prescription Drug Plans The plans below offer Medicare Advantage Prescription Drug plan coverage to Guam residents.

Phone: (671) 635-1817 Phone: (626) 229-1000

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