Journal of Urgent Care Medicine

Zika Pushes Texas to Qualify Mosquito Repellent as a Medicaid Benefit

Texas Medicaid now covers certain mosquito repellent products as a Medicaid benefit for the prevention of the Zika virus under certain conditions, effective August 9. Girls and women 10-45 years of age and pregnant women of any age covered by Medicaid, Children’s Health Insurance Program (CHIP), CHIP-Perinate, and Healthy Texas Women are all eligible. As with over-the-counter medications, a prescription is required for coverage. Interestingly, Texas has reported cases of Zika that originated elsewhere, but …

Is Urgent Care Prepared for Medicaid and CHIP Overhaul?

Major changes are afoot for urgent care centers that treat patients under Medicaid and the Children’s Health Insurance Program (CHIP), thanks to a new rule the Centers for Medicare and Medicaid Services (CMS) is imposing. In addition to new requirements for insurers, the rule also creates new compliance and administrative burdens that could affect revenue for medical practices (eg, requiring care coordination between different settings and institution of quality-rating systems and allowing states to encourage …