Guide to State Medicaid Managed Care Laws and Rules: 1999 EditionGuide to State Medicaid Managed Care Laws and Rules: 1999 Edition reveals the current legislative and regulatory climate regarding Medicaid in every state, including federal waivers applied for and granted. It's the most complete and current information available on how you can maintain or increase your number of covered lives. In one easy-to-use guide you get specific details of each state's Medicaid laws and rules, including: * choice of physician, * provider reimbursement, * benefits packages, * quality assurance, * utilization management, and * names of contacts at state agencies, Best of all, you'll get the details on contracting with each state, as specified by the state Medicaid office itself. You'll also get hard-to-find answers to critical questions such as: * Which states allow Medicaid patients to choose their own physicians? * How do Medicaid provider reimbursement to choose their own physicians? * What are the rules on provider network development in states where you want to do business? Get the answer to these questions and many more in Guide to State Medicaid Managed Care Laws and Rules: 1999 Edition. |
Contents
Introduction | 5 |
Notes on Federal Waivers | 9 |
Alabama | 11 |
Alaska | 13 |
Arkansas | 15 |
California | 16 |
Colorado | 19 |
Connecticut | 21 |
Indiana | 34 |
Iowa | 36 |
Kansas | 38 |
Kentucky | 39 |
Louisiana | 40 |
Maine | 41 |
Maryland | 42 |
Massachusetts | 43 |
Delaware | 22 |
District of Columbia 23 2 2 2 2 2 | 23 |
Florida | 24 |
Georgia | 26 |
Hawaii | 29 |
Idaho | 30 |
Illinois | 31 |
Michigan | 45 |
Minnesota | 48 |
Mississippi | 50 |
Table of Contents | 52 |
North Dakota | 65 |
Utah | 78 |
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Common terms and phrases
addition AFDC-related AHCCCS Aid to Families approved approximately areas capitation rates care case management Certified nurse practitioners CHIP allocation CHIP program Choice of Physician clients clinics Contracts run copayments counties coverage currently Dependent Children AFDC direct marketing allowed enrollees enrollment broker Enrollment is mandatory expand Medicaid families have incomes Families with Dependent families with incomes family incomes federal poverty level fee-for-service Financing Administration fully capitated gram Health Care Financing health centers health services healthcare hospital implemented inpatient Key State Contact managed care organizations managed care plans managed care program management fee management PCCM management program mandatory managed MCOs Medicaid beneficiaries Medicaid eligibility Medicaid HMO Program Medicaid managed Medicaid population Medicaid recipients Medical Assistance medical services Medicare mental health North Dakota November nursing PCCM program Physician Reimbursement primary care physician primary care provider Program Enrollment Program Program Description Provider Reimbursement Quality Assurance receive statewide TennCare Total enrollment voluntary