Physician Practice

Q&A: You’ve got questions! We’ve got answers!

Physician Practice Insider, January 10, 2017

Submit your questions to Associate Editor Nicole Votta at nvotta@hcpro.com and we will work with our experts to provide you with the information you need.

Q: What is Medicaid CHIP?

A: The Children’s Health Insurance Program (CHIP) provides comprehensive benefits to children. Since states have flexibility to design their own program within federal guidelines, benefits vary by state and by the type of CHIP program. Medicaid Expansion CHIP programs provide the standard Medicaid benefit package, including Early and Periodic Screening, Diagnostic, and Treatment services, which include all medically necessary services like mental health and dental services.

There is a great deal of attention to Medicaid/CHIP programs and mental health services. In March 2016, the Mental Health and Substance Use Disorder Parity Final Rule for Medicaid and CHIP was published. The term parity means that the access to services for mental health or substance abuse disorders will be on par with (equal to) the medical services provided.

CMS produced a fact sheet on the status of mental health parity with a history of the evolution of efforts to include substance abuse services in a more organized way.

Editor’s note: This question was originally asked on Revenue Cycle Advisor. This information does not constitute legal advice. Consult legal counsel for answers to specific privacy and security questions. Opinions expressed are those of the author and do not represent HCPro or ACDIS. Email your questions to Associate Editor Nicole Votta at nvotta@hcpro.com.

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