Managed Care | Medicaid
Managed Care is a health care delivery system organized to manage cost, utilization, and quality. Medicaid managed care provides for the delivery of Medicaid health benefits and additional services through contracted arrangements between state Medicaid agencies and managed care organizations (MCOs) that accept a set per member per month (capitation) payment for these …
Managed Care in Idaho . This profile reflects state managed care program information as of August 2014, and only includes information on active federal operating authorities, and as such, the program start date may not reflect the earliest date that a program enrolled beneficiaries and provided services.
Managed Care Quality Improvement | Medicaid
Federal regulations at 42 CFR 438 subpart E (Quality Measurement and Improvement) require states with managed care contracts to carry out a set of managed care quality (MCQ) oversight activities, which include developing and updating state quality strategies (QS), establishing and implementing the state’s ongoing quality assessment and ...
Managed Care Authorities | Medicaid
States can implement a voluntary managed care program simply by executing a contract with companies that the state has procured using a competitive procurement process. CMS must approve the state in order to make payment. 13 states (and Puerto Rico) use 1915(a) contracts to administer 24 voluntary managed care programs. 1915 (b) Waiver Basics
Overview of Current Managed Care Programs . As of July 2011, over 80 percent of all Medicaid beneficiaries were enrolled in some form of managed care. Pennsylvania began experimenting with various managed carearrangements in the 1970’s, beginning with the introduction of its. Voluntary Managed Care Program
Managed Care in Kentucky . This profile reflects state managed care program information as of August 2014, and only includes information on active federal operating authorities, and as such, the program start date may not reflect the earliest date that a program enrolled beneficiaries and provided services.
Oct 20, 2014 · Managed Care in Colorado . This profile reflects state managed care program information as of August 2014, and only includes information on active federal operating authorities, and as such, the program start date may not reflect the earliest date that a program enrolled beneficiaries and provided services.
Managed Care in Washington . This profile reflects state managed care program information as of August 2014, and only includes information on active federal operating authorities, and as such, the program start date may not reflect the earliest date that a program enrolled beneficiaries and provided services.
Managed Care Review (MC-Review) | Medicaid
Managed Care Review (MC-Review) is an easy-to-use online portal for states to submit Medicaid and CHIP managed care contracts and rate certifications for federal review and approval, as required by managed care regulation at 438.3(a) and 438.7.
Managed Care in Delaware . This profile reflects state managed care program information as of August 2014, and only includes information on active federal operating authorities, and as such, the program start date may not reflect the earliest date that a program enrolled beneficiaries and provided services.