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Presumptive Eligibility for Medicaid

A provision that allows providers to treat (and be reimbursed for) patients who they presume to be eligible for Medicaid, even if that patient is not yet enrolled (or is later deemed ineligible).

Long-Term Acute Care Hospital (LTACH)

Defined by Medicare as hospitals with a length of stay that averages greater than 25 days. They are paid on a separate payment system from…