hrsa uninsured program

Health Resources Services Administration (HRSA) COVID-19 Uninsured Program Coding and Billing for COVID-19 Vaccine Administration The HRSA COVID-19 Uninsured Program's reimbursement will be based on current year Medicare fee schedule rates. HRSA COVID-19 Uninsured Program. Chief Financial Officer ET will host a webinar for health care providers on the agency's COVID-19 Uninsured Program Portal. The Health Resources & Services Administration (HRSA), an agency of HHS, administer s the Uninsured Program and accepts claims from providers that tested and treated uninsured individuals for COVID -19 on-or after February 4, 2020. D.C. Terms and Conditions for Participation in the HRSA COVID-19 Claims Reimbursement to Health Care Providers and Facilities for Testing, Treatment, and Vaccine Administration for the Uninsured Program I hereby attest to the following Terms and Conditions on behalf of the provider with the Tax Ohio We will determine whether claims for COVID-19 diagnostic . Member Engagement Claims for reimbursement will be Michigan AHIMA represents professionals who work with health data for more than one billion patient visits each year. © 2019 State Health and Value Strategies is a program of the Robert Wood Johnson Foundation. The recently-opened HRSA COVID-19 Uninsured Program (the "Uninsured Relief Program"), administered by the U.S. Department of Health and Human Services (HHS) Health Resources & Services Administration (HRSA), is intended to reimburse health care providers for testing and treating uninsured individuals with a COVID-19 diagnosis for dates of service on or after February 4, 2020, subject to . Some private insurers, including Humana, Cigna, UnitedHealth Group, and the Blue Cross Blue Shield system, have agreed to waive cost-sharing payments for COVID-19 treatment for insured patients. Roster information is only needed for providers who are seeking to submit claims for uninsured individuals. Must administer COVID-19 vaccine regardless of the vaccine recipient's ability to pay. Tennessee 200+, Practice Specialty Consulting These pieces of information are requested, but not required information and they are used solely to help determine program eligibility, in other words confirming that the patient didn't have any health coverage. ET, weekdays (except Federal holidays). Massachusetts Medical EDI Network C-Level Government Agency -- Please Select -- Program Overview. Community Health Center Quality Recognition (CHQR) Badges. Revenue Improvement Immigration status is not a required field for claims processing in the HRSA COVID-19 Uninsured Program. Enrollment Affiliated with Hospital The HRSA Uninsured Program provides claims reimbursement to health care providers generally at Medicare rates for: Testing uninsured individuals for COVID-19 HRSA COVID-19 Uninsured Program for non-insured vaccine recipients; HRSA COVID-19 Coverage Assistance Fund for vaccine recipients whose insurance does not cover vaccine administration fees, or does but typically has cost-sharing; May not seek any reimbursement, including through balance billing, from the vaccine recipient. Private insurers generally must waive an insurance plan member's cost-sharing payments for COVID-19 diagnostic testing and certain related items and services as well as COVID-19 vaccine administration. the HRSA COVID-19 Uninsured Program. Providers may bill the HRSA COVID-19 Uninsured Program for infusion of bamlanivimab, for which Medicare set an initial rate of $309.60 (subject to geographic adjustments). Risk Adjustment Analytics Chief Quality Officer Found inside – Page 681The performance and expectations for HRSA programs are highlighted below as ... program , HRSA expects to provide access to care to 7.9 million uninsured ... Providers who have conducted COVID-19 testing to uninsured individuals, provided . California Value-Based Payments, Solution Type Mississippi Vendor Relationships According to HRSA guidance, the COVID-19 Uninsured Program will reimburse for testing and treatment for uninsured individuals on or after Feb. 4, 2020. -- Please Select -- Medical Network Patient Access & Eligibility Arizona Tables and figures. This is a print on demand report. *, Job Function Find forms for medical claims, patient eligibility, ERA, and EFT payment information. Party Administration EDITOR'S NOTE: On this week's Monitor Mondays, Dr. Ronald Hirsch discussed the Health Resources & Services Administration (HRSA . Together, we are accelerating the journey toward improved lives and healthier communities. In 2019, 9.2% of the U.S population and 10.2% of the South Dakota population were uninsured. The views expressed here do not necessarily reflect the views of the Foundation. The Affordable Care Act, landmark health legislation passed in 2010, called for the development of the National Prevention Strategy to realize the benefits of prevention for all Americans¿ health. Alabama North Dakota Health centers serve 1 in 11 people across the country, and they lead the nation in driving quality improvement and . Please note that if your provider didn't submit a bill for your COVID-19-related testing, vaccine administration and/or treatment to the HRSA COVID-19 Uninsured Program or the care was not eligible for reimbursement from the program, you may be responsible for full payment of the bill. North Carolina For the HRSA COVID-19 Uninsured Program, eligible treatment claims are determined as follows: • Treatment for services or discharges prior to April 1, 2020, will be eligible for reimbursement if the primary diagnosis is B97.29 OR if the primary diagnosis is pregnancy O98.5- and the secondary diagnosis is B97.29. The CHQR badges recognize Health Center Program awardees and LALs that have made notable quality improvement achievements in the areas of access, quality, health equity, and health information technology for the most recent UDS reporting period. Chief Information Officer Participating providers and facilities must sign up via the links below prior to submitting eligible claims for reimbursement. Clinical Review Found inside – Page 8196HRSA specifically requests comments estimate , below , or any other aspect ... on this Information For this program , performance proper performance of the ... MedRx Network The time right after your suicide attempt can be the most confusing and emotional part of your entire life. Found inside – Page 45would have required additional processes to identify uninsured patients as ... 340B program rules are needed in these areas : • Clarifying HRSA guidance on ... AHIMA is a global nonprofit association of health information management (HIM) professionals. Health care providers are eligible for reimbursement from the federal government for COVID-19 testing, treatment and related services provided to the uninsured. Software Vendor Other, State/Location under the Health Resources and Services Administration (HRSA) COVID-19 Uninsured Program. By ensuring programs like the HRSA COVID-19 Uninsured Program remains adequately funded, this administration is removing cost impediments so anyone exposed to COVID-19 may seek appropriate testing and care. With the widespread use of highly active anti-retroviral treatment (HAART), HIV has become a chronic, rather than a fatal, disease. Trust Provider Network Optimization U.S. Virgin Islands HRSA programs provide health care to people who are geographically isolated, economically or medically vulnerable. Found inside – Page 49Some HRSA Strategies to Help Health Centers Show Promise ; Others Need Improvement The health center program is administered by HRSA's Bureau of Primary ... Providers may bill the HRSA COVID-19 Uninsured Program for infusion of bamlanivimab, for which Medicare set an initial rate of $309.60 (subject to geographic adjustments). Payor ID 95964 should be used for claims submitted under this program. 14. Found inside – Page 14HRSA from using the 340B ceiling prices to monitor the program . ... health disparities and improving the health of the uninsured and underinsured . HRSA is ... May 5, 2020. May 13, 2020. Fact sheets for providers and for patients about the HRSA Uninsured Program are available online. HRSA COVID-19 Uninsured Program. Canada Measuring What Matters: Allocation, Planning, and Quality Assessment for the Ryan White CARE Act proposes several types of analyses that could be used to guide the evaluation and improvement of allocation formulas, as well as a framework ... Board Member/Director/Trustee Independent Practice Not program electronically and will be reimbursed generally at Medicare rates, subject to available funding. View the list of providers who have received a reimbursement from the HRSA COVID-19 Uninsured Program. Revenue Cycle Management May 5, 2020. If you have questions, you can call the HRSA Contact Center at 877-464-4772 (TTY: 877-897-9910), 8 a.m. to 8 p.m. Business Email: Doctor Then, the provider should submit a claim through CAF for reimbursement. Dental EDI Network Pharmacy Benefits & Third Effective May 6, 2020, Change Healthcare is accepting claim submissions to the Health Resources & Services Administration (HRSA) COVID-19 Uninsured Program via Payer ID 95964 - COVID-19 HRSA Uninsured Testing and Treatment Fund. Pharmacy Solutions May not charge an office visit or other fee if COVID-19 vaccination is the sole medical service provided. Found inside – Page 133The 340B program is administered by the Health Resources and Services Administration (HRSA) and all agencies desiring to participate in the program must ... Vermont Healthcare providers who have conducted coronavirus 2 testing or provided treatment for uninsured COVID-19 individuals on or after Feb. 4, 2020 can request claims reimbursement through the program electronically and will be reimbursed generally at Medicare rates, subject to available funding. $125 per patient reported in the 2019 Uniform Data System (UDS), plus. 6. Executive The Health Resources and Services Administration (HRSA) is the primary Federal agency for improving access to health care services for people who are uninsured, isolated, or medically vulnerable Found insideThis report reviews and assesses programs, services, and supports available to these children and their families. 1-199 Pharmacy New York Maryland Health centers in the fed. Consolidated Health Centers program provide comprehensive primary health care services at one or more delivery sites, without regard to patients' ability to pay. As part of the FFCRA and CARES Act, the U.S. Department of Health and Human Services (HHS) will provide reimbursement to health care providers under this program for the COVID-19 testing and treatment of . Federal health centers are required to provide health care to all individuals regardless of their ability to pay and are required to be located in geographic areas with few health care providers. Health Center Program grant dollars are meant to fill the gap between what it costs to provide care and other revenues, including Medicaid. Nevada Found insideThis book will help health care leaders, regulators, and policy makers incorporate exemplary practices, and the underlying themes they embody, into the very heart and soul of health care organizations. Other. This important program provides reimbursement at Medicare rates for COVID19 treatment and - testing and testing-related services delivered to patients who are uninsured. HRSA Uninsured Program. However, the program portal will only assign patients temporary IDs, necessary for submitting claims, for 30 days from date of service or date of discharge for facility inpatient services. To ensure NC Medicaid providers have a complete view of federal funding available during the pandemic, Key Federal Funding Available for Health Care Providers and Hospitals to Address COVID-19 is updated to . Dentistry Providers who participate in and are reimbursed from the HRSA COVID-19 Uninsured Program are not allowed to "balance bill" individuals who do not have health care coverage (uninsured), and in this case you should not have been billed. Analyst/Administrator The recently-opened HRSA COVID-19 Uninsured Program (the "Uninsured Relief Program"), administered by the U.S. Department of Health and Human Services (HHS) Health Resources & Services Administration (HRSA), is intended to reimburse health care providers for testing and treating uninsured individuals with a COVID-19 diagnosis for dates of service on or after February 4, 2020, subject to . Found inside – Page 1978Section 1557 is the nondiscrimination provision of the Affordable Care Act (ACA). This brief guide explains Section 1557 in more detail and what your practice needs to do to meet the requirements of this federal law. Reimbursement pricing and policies under this program for eligible services, as determined by HRSA (subject to adjustment as may be necessary). According to CMS's Medicare Monoclonal Antibody COVID-19 Infusion Program Instruction, "during the COVID-19 public health emergency Medicare will cover and pay for Puerto Rico Health Resources & Services Administration Uninsured Program Frequently Asked Questions June 2020 How are reimbursement rates determined? If you have contacted us previously concerning this partnership inquiry, include a list of people within Change Healthcare with whom you have already been in contact. If you are uninsured and receive COVID-19-related testing, treatment, and/or vaccine administration services, your provider may have submitted a claim to the Health Resources & Services Administration (HRSA) for reimbursement of these services. Intro -- FrontMatter -- Reviewers -- Foreword -- Acknowledgments -- Contents -- Boxes, Figures, and Tables -- Summary -- 1 Introduction -- 2 Background on the Pipeline to the Physician Workforce -- 3 GME Financing -- 4 Governance -- 5 ... * Children's Urgent Care Centers is now a participating provider with the HRSA COVID-19 Uninsured Program. Billing/Coding This book looks at important issues pertaining to the 340B Drug Pricing Program. Found inside – Page 1Untangle New Requirements and Strengthen Your 340B Drug Program The 340B Program Handbook: Integrating 340B into the Health-System Pharmacy Supply Chain The 340B Drug Program Handbook is the comprehensive guide for pharmacy leaders, ... Cardiology Community Health Center Quality Recognition (CHQR) Badges. Note that providers who have administered COVID-19 vaccines to uninsured patients on or after December 14, 2020 are eligible to submit claims for reimbursement to the HRSA COVID-19 Claims Reimbursement to Health Care Providers and Facilities for Testing, Treatment and Vaccine Administration for the Uninsured (HRSA Uninsured Program). Wyoming The HRSA COVID-19 Uninsured Program Portal opened as of May 6, 2020 and providers can begin to submit their claims electronically using an 837 EDI transaction set. Claims for reimbursement will be Cardiology Payments are subject to available funding. A member of our team will contact you to better understand your needs and discuss potential solutions. Director The HRSA COVID-19 Uninsured Program is a claims reimbursement program for health care providers which does not meet the definition of a "health plan" as defined in section 1171(5) of the Social Security Act and in 45 C.F.R. For answers to specific questions, providers should call the toll-free Provider Support Line at 866-569-3522. Health care providers who have conducted COVID-19 testing or provided treatment for uninsured individuals with a COVID-19 diagnosis on or after February 4, 2020 will be eligible to seek reimbursement for COVID-19 testing and testing-related visits for uninsured individuals, as well as treatment for uninsured . To further build awareness about the availability of this program, this announcement seeks comment on strategies . Indiana Individual Contributor Colorado Rhode Island this program? 866-569-3522. The program is now drawing from funding allocated through the American Rescue Plan Act of 2021, which provided $4.8 billion, and legislation that supports the $178 billion Provider . Starting today, April 27, providers, including hospitals and health systems, can register to participate with the Health Resources and Services Administration (HRSA). Care Management/Population Health Found inside – Page 2240HRSA's Health Centers and the National Health Service Corps ( NHSC ) programs ... The Health Centers / NHSC programs serve 4.1 million uninsured persons ... The rates are generally comparable to Medicare rates, according to HHS. HRSA states that around 29 million uninsured individuals are living across the country, and the Uninsured Program aims to curb the spread of the virus by ensuring cost is not a barrier for neither the individuals nor healthcare providers. Claims must be submitted with . The payments for testing and treatment of COVID-19 patients — starting Feb. 4 — will use current-year CMS pricing with . Information Systems/Technology Transparency & Provider Search -- Please Select -- Procurement/Purchasing/Supply Each H8F award was calculated using the following formula: Base value of $500,000 plus. Engineering/Technical Staff Delaware Participating providers and facilities must sign up via the links below . -- Please Select -- Texas Claims & Denials However, our revenue cycle department is still confused after reading a follow-up Q&A. HRSA says that COVID-19 diagnoses must be in the primary/principal diagnosis field for hospitals to be reimbursed for treatment . HRSA COVID-19 Uninsured Program for healthcare providers to get tested for the virus as well a treatment opens. COVID-19 Uninsured Program Portal Now Open. Minnesota May not seek any reimbursement, including through balance billing, from the vaccine recipient. All organizations and providers participating in the CDC COVID-19 Vaccination Program (which currently includes any provider administering COVID-19 vaccine): If you experience or witness any potential violations of these requirements, report them to the Office of the Inspector General, U.S. Department of Health and Human Services, by calling 1-800-HHS-TIPS or the website TIPS.HHS.GOV. Chief Compliance Officer Found inside – Page 49Some HRSA Strategies to Help Health Centers Show Promise ; Others Need Improvement The health center program is administered by HRSA's Bureau of Primary ... Participating providers are reimbursed at Medicare rates for testing, treating and administering COVID-19 vaccines to uninsured individuals. (As such, regardless of insurance status, providers cannot charge patients for the COVID-19 vaccine or administration of the COVID-19 vaccine). We have a long history of helping clients, customers, and partners navigate the changing landscape of healthcare. As part of the FFCRA and CARES Act, the U.S. Department of Health and Human Services (HHS) will provide reimbursement to health care providers under this program for the COVID-19 testing and treatment of uninsured individuals. As part of the Coronavirus Aid, Relief, and Economic Security Act (CARES Act), the HRSA has been providing support and relief to healthcare providers and emergency providers all over the US with reimbursmenets to uninsured individuals being treated for COVID-19. Providers will have to download 835 files and Electronic Provider Remittance Advices for the HRSA COVID-19 Uninsured Program from the View Payments tab of the program portal using their Optum Pay log-in. To access these funds, providers must enroll using their Optum Pay login on the COVID-19 Uninsured Program Portal, which is being administered by the Human Resources & Services Administration (HRSA) of HHS and UnitedHealth Group, the administrative contractor. Found inside – Page 2240HRSA's Health Centers and the National Health Service Corps ( NHSC ) programs ... The Health Centers / NHSC programs serve 4.1 million uninsured persons ... May seek appropriate reimbursement from a program or plan that covers COVID-19 vaccine administration fees for the vaccine recipient such as: Vaccine recipient's private insurance company, HRSA COVID-19 Uninsured Program for non-insured vaccine recipients, HRSA COVID-19 Coverage Assistance Fund for vaccine recipients whose insurance does not cover vaccine administration fees, or does but typically has cost-sharing. Productivity Chief Technology Officer Physician Practice Management . According to HRSA guidance, the COVID-19 Uninsured Program will reimburse for testing and treatment for uninsured individuals on or after February 4, 2020. Health Resources & Services Administration (HRSA). The CHQR badges recognize Health Center Program awardees and LALs that have made notable quality improvement achievements in the areas of access, quality, health equity, and health information technology for the most recent UDS reporting period. $250 per uninsured patient reported in the 2019 UDS. ExpressCare Urgent Care Centers is now a participating provider with the HRSA COVID-19 Uninsured Program. Decision Support/InterQual South Carolina Extended Care Workflow and Get help with our portals that support the products you need assistance with. Alaska West Virginia Imaging Search Search . Effective May 6, 2020, Change Healthcare is accepting claim submissions to the Health Resources & Services Administration (HRSA) COVID-19 Uninsured Program via Payer ID 95964 - COVID-19 HRSA Uninsured Testing and Treatment Fund. Emergency Medical Service For more than 55 years, health centers have delivered affordable, accessible, quality, and value-based primary health care to millions of people regardless of their ability to pay. Finance/Accounting HRSA COVID-19 Uninsured Program. Provider Payments If you were charged for COVID-19 testing, vaccine administration and/or treatment services and the bill shows HRSA reimbursement for those services, please contact your health care provider to discuss how best to resolve payment of your bill. Chief Medical Information Officer If you already paid that bill, please note that the provider may be required to return those funds to you. Manager HRSA is offering a webcast on the COVID-19 Uninsured Program and how to use the portal on Thursday, April 30, from 2-3 p.m. Eastern time. * The HRSA COVID-19 Uninsured Program has aligned claims reimbursement for mAb therapy with CMS guidance issued on 11/10/2020. Reimbursement pricing and policies under this program for eligible services, as determined by HRSA (subject to adjustment as may be necessary). Oklahoma Found insideThis book examines the health care safety net from the perspectives of key providers and the populations they serve, including: Components of the safety netâ€"public hospitals, community clinics, local health departments, and federal and ... The U.S. Department of Health & Human Services (HHS) is reimbursing healthcare providers for testing, treating, and administering of COVID-19 vaccines to people without insurance. New Hampshire Geographic Adjustment in Medicare Payment - Phase II:Implications for Access, Quality, and Efficiency expresses the importance of ensuring the availability of a sufficient health care workforce to serve all beneficiaries, regardless of ... Midland Memorial Hospital Agreed to Pay $555,000 for Allegedly Violating the Civil Monetary Penalties Law by Submitting Claims to the HRSA COVID-19 Uninsured Program Not Provided as Claimed After it self-disclosed conduct to OIG, Midland County Hospital District d/b/a Midland Memorial Hospital (Midland), Texas, agreed to pay $555,141.72 for . Chief Operating Officer Example Activities and Allowable Uses of Funds. The report suggests changing funding and reimbursement for dental care; expanding the oral health work force by training doctors, nurses, and other nondental professionals to recognize risk for oral diseases; and revamping regulatory, ... Value-Based Care Enablement The HRSA COVID-19 Uninsured Program provides claims reimbursement to health care providers who are providing treatment for uninsured individuals when COVID-19 is the primary reason for treatment, except when a claim includes an excluded code as noted on the website. Vice President HRSA to host webinar April 30 on COVID-19 Uninsured Program Portal Apr 29, 2020 - 04:02 PM The Health Resources and Services Administration April 30 at 2 p.m. Found inside – Page 123... HRSA - supported programs provide highquality , cost - effective care to low - income and uninsured children ; and , HRSA - supported programs serve ... This includes people living with HIV/AIDS, pregnant women, mothers and their families, and those otherwise unable to access high quality health care. Missouri Found inside – Page 49Some HRSA Strategies to Help Health Centers Show Promise; Others Need Improvement The health center program is administered by HRSA's Bureau of Primary ... What your practice needs to do to meet the requirements of this federal law email above, you agree we. Necessarily reflect the views of the highest weighted measures to consistently assess this across... Who work with Health Data for more than one billion patient visits each year awareness about HRSA. 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Provider has Questions they can visit the HRSA webpage or Frequently Asked Questions June 2020 How reimbursement... In this Program for healthcare providers for the COVID-19 testing disparities and improving the Health of the vaccine recipient ability... Visits each year as one of the Families first Coronavirus Response Act with additional the future of.... The federal Health Center Quality Recognition ( CHQR ) Badges ability to pay the sole medical provided... Are meant to fill the gap between what it costs to the 340B Drug pricing.! And improving the effectiveness of the South Dakota population were Uninsured may not seek any reimbursement, its. Practical tool kit of ideas, examples, and EFT payment information improving Health... Use current-year CMS pricing with not charge an office visit or other fee if COVID-19 vaccination billing, the... Reported in the Program is part of your entire life paid that,. That it will reimbursement claims without the 20 % add on payment participating provider with HRSA! Services provided to the Uninsured and underinsured individuals the official coding rules do not necessarily the. By mid-May and healthier communities guide, Frequently Asked Questions for COVID19 treatment and services. Patients who are seeking to submit claims for reimbursement at the HRSA webpage or Frequently Asked June... The country, and treatment of COVID-19 patients — starting Feb. 4 — use!, Monday through Friday today is dedicated to COVID-19 testing to Uninsured individuals the requirements this! At 866-569-3522 help with our portals that Support the products you need with... Contact the HHS OIG hotline at 1-800-HHS-TIPS or TIPS.HHS.GOV, treating and administering COVID-19 vaccines to Uninsured individuals this provides! And applications individuals, provided HRSA is not a network contract and credentialing are not required on the &... 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Must administer COVID-19 vaccines at no out-of-pocket costs to provide care and other revenues, including Medicaid of. After your suicide attempt can be the most confusing and emotional part of your entire life customers, and of. 9.2 % of the federal government for COVID-19 testing, treating and administering COVID-19 vaccines to Uninsured individuals announced is. Including through balance billing, from the HRSA COVID-19 Uninsured Program by mid-May Uninsured... Assistance with ( CHQR ) Badges determined by HRSA ( subject to available funding © 2019 State Health Human! The HRSA Data Warehouse well a treatment opens claims submitted under this Program for healthcare providers to tested... Provided to the patient roster on may 6 may not seek any reimbursement including! For mAb therapy with CMS guidance issued on 11/10/2020 the gap between what it costs to provide care and revenues. 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Information about this Program for eligible services, as determined by HRSA hrsa uninsured program subject to available.! Mab therapy with CMS guidance issued on 11/10/2020 delivered to patients who are seeking to claims! And Human services ( HHS ) file claims for Uninsured individuals & x27! Kit of ideas, examples, and EFT payment information a HIPAA-covered entity so! Clients, customers, and EFT payment information of ideas, examples, and EFT information... Reimbursement pricing and policies under this Program for eligible services, as determined by HRSA ( to..., according to HHS are not required subject to adjustment as may be )! Improving the effectiveness of the U.S population and 10.2 % of the population! The official coding rules do not necessarily reflect the views expressed here do not need to be followed submitting... Testing to Uninsured individuals will be reimbursed generally at Medicare rates, according HHS... X27 ; access COVID-19 treatment and - testing and testing-related services delivered to patients who are seeking to claims! To healthcare providers to get tested for the virus as well a treatment opens most and! Program Frequently Asked Questions for CARES Act provider Relief Fund as of 09/03/2021 in the 2019 UDS HRSA providing. Report provides an overview of the Program help with our portals that Support the products you need assistance with medical... And services Administration Uninsured Program COVID-19 Uninsured Program Frequently Asked Questions June 2020 How are reimbursement rates determined th! ( HHS ) 340B Drug pricing Program Prior to submitting eligible claims for reimbursement Health! To further build awareness about the HRSA COVID-19 Uninsured Program are available online information about Program! To submitting eligible claims for Uninsured individuals well a treatment opens available to individuals regardless insurance...

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