新泽西州医疗补助计划可通过减少家庭的血糖试纸价格实现节约
New Jersey Medicaid Program Could Achieve Savings by Reducing Home Blood-Glucose Test Strip Prices
关键词:医疗补助;家庭护理服务;医疗设备
摘 要:New Jersey Administrative Code sections 10:51 and 10:59 provide for the coverage of diabetic testing supplies, including test strips. The State agency reimburses providers the lesser of the usual and customary charge or the Medicaid fee for each item. Additionally, contracts between the State agency and the MCOs list diabetic testing supplies as a covered benefit provided to eligible beneficiaries. The monthly Medicaid capitation payment that the State agency makes to an MCO for each eligible beneficiary in cludes these supplies. Our objective was to determine whether the State agency could achieve Medicaid program savings for test strips.