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Navigating the waters of Medicaid managed care contracting
1Birch & Davis Health Management Corporation, Silver Spring, MD, USA.
Abstract:
Managed care organizations (MCOs) are responding enthusiastically to Medicaid waiver contracting opportunities. However, these opportunities involve financial risks as well as complex requirements regarding services to be offered and enrollment procedures to be followed. MCOs that understand these complex programmatic and operational requirements can take best advantage of Medicaid contracting opportunities.