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In an age of enormous games, this one attempts to be the most enormous of all — and whether it succeeds depends largely on your appetite for the type of game it offers up so very much of. When I finished the intro, I realized that what I thought was the intro was actually just the intro to the intro; now I see that at that moment, I was only just beginning the real intro, and after 15 hours had arrived at The Game. Look at the map, go to a point of interest, unlock new quests and collectibles to get you to the next part of the map, rinse and repeat for about a hundred hours. Yet in spite of the open-world fatigue already setting in back in , the original game provided something fresh — largely because of a highly original setting and story. People wanted to explore the vast world, not simply to check things off a list, but because every location they visited or enemy they overcame added new tidbits to the surprisingly rich and complete lore.

Hfw c4s

Committed to improving the health and well-being of all people across every state. Despite a federal rule change that allows states to bill Medicaid for school-based physical and behavioral health services provided to all Medicaid-enrolled students, many states struggle to overcome the persistent and complex billing challenges associated with receiving Medicaid reimbursement for delivery of these critical services. To access additional Medicaid funds to expand school-based behavioral health services, Michigan established the Caring 4 Students C4S program, which strengthens partnerships between its Medicaid agency, providers, and educational entities and streamlines Medicaid billing policies and procedures. This case study explores how Michigan overcame some of the challenges states face when seeking Medicaid reimbursement for school-based behavioral health services. It also describes how Michigan retooled the C4S program during the pandemic to ensure the services continued to reach students through telehealth. The majority of children who receive behavioral health care access these services in school settings. According to the School-Based Health Alliance, 70 percent of children who receive mental health services access them at school. Also, with the pandemic forcing many schools to offer reduced in-person teaching or fully remote learning, they have had to adapt and provide more behavioral health services through telehealth. While states can fund school-based behavioral health services in a variety of ways , a number of states have leveraged federal Medicaid dollars to help fund behavioral health services for students with Medicaid coverage. Historically, schools were restricted in their ability to receive federal Medicaid reimbursement for physical and behavioral health services provided to Medicaid-enrolled students.

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