Also see:
Medicaid Services
Medicare/Medicaid Abuses
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Medicaid, Core Principles
The AAFP supports specifying the following principles to the policy on Medicaid, Core Principles:
- federal share should be increased if Medicaid enrollment is increased by federal legislation;
- payment for primary care services should be at least equal to Medicare;
- the patient-centered medical home model of care with appropriate payment for case management/care coordination should be implemented broadly;
- a benefit profile should be required that includes first dollar coverage of preventive services;
- cost-containment determined by evidence-based research;
- a clear definition of medical necessity based on evidence;
- Medicaid should support health information exchange through adequate infrastructure investment and electronic medical records by means of adequate payment for electronic visits and related services;
- pay for performance and other quality improvement activities rooted in evidence-based research;
- current pharmaceutical benefits for dual eligibles should be maintained if those benefits cover more drug costs than does the Medicare benefit;
- coverage of tobacco cessation counseling, pharmaceuticals and other assistive methods should be included;
- federal financial participation in territorial assistance programs should be equitable;
- coverage of pharmaceutical and oral health benefits should be mandatory; and
- Medicaid programs should provide continuous eligibility for at least twelve months.
(2005) (2010 COD)
