Transcription of Administrative Provider Manual for Medicaid including
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Administrative Provider Manual for Medicaid including
Administrative Provider Manual for Medicaid including : Children s Special Health Care Services (CSHCS) Healthy Michigan Plan (HMP) SECTION 1: GENERAL OVERVIEW .. 1 MISSION STATEMENT .. 1 CONTACT INFORMATION .. 2 SECTION II: Provider SERVICES .. 2 PCP AS THE COORDINATOR OF CARE .. 2 COMMUNICATION WITH THE PCP .. 2 MEMBER ADVOCACY .. 3 PCP REPORTING REQUIREMENTS .. 3 PAYMENT STRUCTURE .. 3 FEE FOR SERVICE .. 3 CAPITATION .. 3 LABORATORY SERVICES .. 3 PCP PERFORMANCE AND PAY FOR PERFORMANCE (P4P) BONUS PROGRAM .. 3 PCP ACCESSIBILITY AND AVAILABILITY .. 4 ACCESS TO CARE STANDARDS .. 4 PCP REQUEST FOR MEMBER TRANSFER .. 4 SECTION III: CREDENTIALING .. 5 CREDENTIALING PROCESS and CRITERIA .. 5 SECTION IV: NETWORK DEVELOPMENT/CONTRACTING PROCESS.
Administrative Provider Manual for Medicaid including: Children’s Special Health Care Services (CSHCS) Healthy Michigan Plan (HMP)
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