Illinois medicaid managed care contract
[DOCX File]Slide 1: Medicaid Managed Care and Its Implications on ...
https://info.5y1.org/illinois-medicaid-managed-care-contract_1_1d18b1.html
In a managed care system, people get some or all of their Medicaid services from an organization under contract with the state Medicaid agency. Instead of the state paying providers directly, an intermediary entity is responsible for “managing” care to control costs and improve quality.
[DOC File]Family Voices of Illinois
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Jun 24, 2011 · The Bureau of Managed Care is responsible for implementing managed care programs, developing policy and procedures for those programs, procuring and monitoring contracts. Illinois has three managed care delivery systems: Integrated Care Program (ICP), Primary Care Case Management (PCCM), and Voluntary Managed Care (VMC).
[DOC File]BILLING SERVICES AGREEMENT
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EBC agrees not to disclose to anyone other than CLIENT any information about CLIENT’s fee structure, internal compensation, managed care or facility contracting strategies, or similar business information that would commonly be understood to be confidential or any confidential medical information regarding CLIENT’s patients received in the ...
[DOCX File]INSTRUCTIONS FOR COMPLETING - Medicaid
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General Managed Care Contract Provisions . 3.2.1 . The State assures that it provides for free and open competition, to the maximum extent practical, in the bidding of all procurement contracts for coverage or other services, including external quality review organizations, in accordance with the procurement requirements of 45 CFR part 75, as ...
[DOC File]INTERAGENCY AGREEMENT - Illinois Fire Chiefs
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Managed Care Program means services under the Medical Programs for which the Department pays a capitated payment to MCOs to cover the cost of covered medical services. Managed Care Organization (MCO) means an entity under contract with the Department receiving capitated payments and at risk for providing reimbursement for enrollees.
[DOC File]Medical Supply Vendor - NAHC
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How are customer complaints managed? ... Are you approved to provide supplies to Illinois Medicaid patients? Filling Orders. ... A copy of your standard contract will be requested at that time. A final decision will be made following the presentations. Contact Person.
Managed Care number of states (Self Reported).doc
Does your state contract with at-risk managed care organizations (MCOs) or dental care organizations (DCOs) to deliver any portion of Medicaid dental benefits? No AK: Denali KidCare provides health and dental insurance coverage for children through age 18 and …
[DOC File]HealthCare Choices Resource Center
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May 14, 2012 · Illinois’ Medicaid agency, the Department of Healthcare and Family Services (HFS), has chosen to use managed care in an attempt to cut back on its Medicaid spending. This brief will cover two separate managed care plans that Illinois has proposed. The first, the Integrated Care …
[DOCX File]Illinois General Assembly Home Page
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February 1, 2021. In accordance with Senate Bill 1851, 20 ILCS 505/5.45, the Illinois Department of Children and Family Services (DCFS) submits an annual report to the House and Senate Human Services Committees on measures of access to and the quality of healthcare services for youth in care enrolled in Medicaid managed care plans.
[DOC File]Illinois Children’s Healthcare Foundation
https://info.5y1.org/illinois-medicaid-managed-care-contract_1_640a1e.html
(Please include Medicaid fee for service and Medicaid managed care). Total dollar amount of SASS services billed from 3/1/2020 through 5/31/2020. Total amount of additional expenses related to transitioning to virtual service provision for SASS and for Personal Protective Equipment for SASS staff.
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