- Page 1: kaisercommission onmedicaidand theu
- Page 5 and 6: Table of ContentsExecutive Summary
- Page 7 and 8: EXECUTIVE SUMMARYMedicaid, the publ
- Page 9 and 10: party enrollment brokers to provide
- Page 11 and 12: HEDIS©, CAHPS©, and state-specifi
- Page 13: ConclusionFor over 30 years, state
- Page 16 and 17: from the recession and the slow rec
- Page 18 and 19: A note on Medicaid managed care ter
- Page 20 and 21: Managed caremodelTable 1: Medicaid
- Page 23 and 24: States are increasingly mandating m
- Page 25 and 26: States with Medicaid MCOsKey Sectio
- Page 27 and 28: States have “auto-assignment” a
- Page 29 and 30: excess of a specified threshold for
- Page 31 and 32: Dental care and outpatient and inpa
- Page 33 and 34: the second trimester, and within th
- Page 35 and 36: eported that they limit PCP panel s
- Page 37 and 38: States with non-comprehensive PHPsK
- Page 39 and 40: Measuring, monitoring, and improvin
- Page 41 and 42: seven states required 10 measures o
- Page 43 and 44: CAHPS© surveys. North Carolina is
- Page 45 and 46: Special initiatives to improve qual
- Page 47 and 48: public health efforts to reduce dis
- Page 49 and 50: Medicaid managed long-term care and
- Page 51 and 52: (e.g., need to credential Adult <st
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In many states, broader efforts foc
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Looking ahead: Medicaid managed car
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ConclusionFor over 30 years, state
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APPENDIX 2: Summary of Medicaid Man
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Program Name(e.g., Popular Name, 19
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APPENDIX 3: MCO Contracts, Plan Cha
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State(No. ofcontracts)NameEnrollmen
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State(No. ofcontracts)NameEnrollmen
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APPENDIX 5: MCO Capitation Rate-Set
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APPENDIX 7: MCO Network Adequacy Re
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State Primary Care Obstetric Care S
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APPENDIX 9: Providers Recognized as
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APPENDIX 11: PCCM Administrative Se
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APPENDIX 13: Initiatives to Improve
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I. MANAGED CARE OVERVIEW1. Total Ma
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4. Enrollment Requirements.a. We ar
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ii. Please indicate whether the fac
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c. Required Providers: We are inter
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IV. NON-COMPREHENSIVE PREPAID HEALT
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. Does your state use CAHPS© surve
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VI. SPECIAL INITIATIVESAll states s
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Appendix I: Managed Care Contracts1
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Appendix II: Clinical Quality Perfo
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1330 G S T R E E T NW, W A S H I N