Transcription of Medicaid Managed Care State Guide
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Medicaid Managed Care State Guide
DEPARTMENT OF HEALTH AND HUMAN SERVICES. Centers for Medicare & Medicaid Services 7500 Security Boulevard, Mail Stop S2-26-12. Baltimore, MD 21244-1850. State Guide to CMS Criteria for Medicaid Managed Care Contract Review and Approval January 20, 2017. This Guide covers the standards that are used by the Centers for Medicare & Medicaid Services (CMS). Regional Office staff to review and approve State contracts with Medicaid Managed care organizations (MCO), prepaid inpatient health plans (PIHP), prepaid ambulatory health plans (PAHP), non-emergency medical transportation prepaid ambulatory health plans (NEMT PAHP), primary care case managers (PCCM), primary care case manager entities (PCCM entity), and health insuring organizations (HIO).
i . DEPARTMENT OF HEALTH AND HUMAN SERVICES . Centers for Medicare & Medicaid Services 7500 Security Boulevard, Mail Stop S2-26-12 Baltimore, MD 21244-1850
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