OH Medicaid Managed Care Program

Ohio Department of Medicaid (ODM) implemented the Next Generation managed care plans to provide Ohio Medicaid managed care members enhanced healthcare services that best fit their individual healthcare needs and improve the provider experience by increasing transparency and visibility of care and services. Mandatory for Aged, Blind or Disabled Children or Adults. Read More

MI Section 1115 Behavioral Health Demonstration

The CCBHC demonstration aims to improve the behavioral health for all Michiganders by: increasing access to high-quality care, integrating behavioral health with physical health care, promoting the use of evidence-based practices, and establishing standardization and consistency with a set criterion for all certified clinics to follow. The CCBHC model requires access to 24/7/365 crisis response services, along with other critical …

SC Managed Care Organizations

Managed care is a healthcare system organized to manage cost, usage and quality. Medicaid managed care delivers Medicaid health benefits and additional services through agreements between state Medicaid agencies and Managed Care Organizations (MCOs). Mandatory for blind children or adults. Read More

CO Elderly, Blind, and Disabled (HCBS-EBD) Waiver

Provides adult day health, homemaker, personal care, respite, alternative care facility, consumer directed attendant support services, home delivered meals, home modification, in home support services, life skills training, non-medical transportation, peer mentorship, personal emergency response systems, remote support technology, supplies/equipment/medication reminder, and transition setup services to individuals ages 65 or older, individuals with physical disabilities ages 18-64 years, and individuals …

WA Non-Emergency Medical Transportation

The Health Care Authority (HCA), Washington’s single state Medicaid agency, provides NEMT in accordance with federal Medicaid regulations which require that the Medicaid State Plan ensure necessary transportation to and from providers to receive covered services, and describe the methods that the agency will use to meet this requirement (mandatory for blind children and adults). Read More

SD Primary Care Provider (PCP Program)

The PCP Program is designed to improve access, availability, and continuity of care while reducing inappropriate utilization, over-utilization, and duplication of South Dakota Medicaid covered services. Participating recipients select a PCP to be their health care case manager. This program creates a partnership between the PCP and the recipient. The PCP is responsible for providing or directing most services provided …

NH Medicaid Care Management

Medicaid Care Management (MCM), or managed care, delivers New Hampshire Medicaid health benefits and additional services through contracts between the Department of Health and Human Services (DHHS) and managed care organizations (MCOs) or Medicaid Health Plans. In New Hampshire, most Medicaid recipients are enrolled in managed care. Mandatory for Aged, Blind or Disabled Children or Adults Read More