managed medicaid - nh.gov · managed care in december 2013 • each managed care plan designated a...

11

Managed Medicaid Transportation December 2013 – Current

Upload: others

Post on 12-Aug-2020

5 views

Category:

Documents

0 download

Report

Download

Embed Size (px):

TRANSCRIPT

Page 1: Managed Medicaid - NH.gov · Managed Care in December 2013 • Each Managed Care Plan designated a Transportation Broker • Meridian – Access 2 Care (A2C) • Well Sense – Coordinated

Managed Medicaid Transportation

December 2013 – Current

Page 2: Managed Medicaid - NH.gov · Managed Care in December 2013 • Each Managed Care Plan designated a Transportation Broker • Meridian – Access 2 Care (A2C) • Well Sense – Coordinated

NH Medicaid introduces Managed Care

• In December of 2013 NH DHHS transitioned the state’s Medicaid delivery system from the fee for service model to the Medicaid Care Management Program

• Not ALL Medicaid clients were transitioned • Dual Eligible/ Katie Beckett/ Children with special health care needs/ Children with SSI/

Foster Care/ Native Americans and Native Alaskans were given the option of opting out of care management

• Spend-down/ Veterans Administration/ Qualified Medicare Beneficiaries (QMB)/ Special Low-Income Medicare Beneficiaries (SLMB)/ Qualified Disabled Working Individual (QDWI) were excluded from Step 1

Presenter

Presentation Notes

Whole Person Approach – emphasis on the integration of medical, behavioral and long term services and supports. Care is coordinated across service domains. Improved quality and cost effectiveness Home and community based care as a primary source of managed long term services and supports

Page 3: Managed Medicaid - NH.gov · Managed Care in December 2013 • Each Managed Care Plan designated a Transportation Broker • Meridian – Access 2 Care (A2C) • Well Sense – Coordinated

Managed Care in December 2013

• 3 Managed Care Providers • Meridian

• Well Sense

• NH Healthy Families

Page 4: Managed Medicaid - NH.gov · Managed Care in December 2013 • Each Managed Care Plan designated a Transportation Broker • Meridian – Access 2 Care (A2C) • Well Sense – Coordinated

Managed Care in December 2013

• Each Managed Care Plan designated a Transportation Broker • Meridian – Access 2 Care (A2C)

• Well Sense – Coordinated Transportation Solutions (CTS)

• NH Healthy Families – Access 2 Care (A2C)

Page 5: Managed Medicaid - NH.gov · Managed Care in December 2013 • Each Managed Care Plan designated a Transportation Broker • Meridian – Access 2 Care (A2C) • Well Sense – Coordinated

Meridian NH Healthy Families Well Sense

A2C CTS

December 2013

Page 6: Managed Medicaid - NH.gov · Managed Care in December 2013 • Each Managed Care Plan designated a Transportation Broker • Meridian – Access 2 Care (A2C) • Well Sense – Coordinated

Managed Care in July 2014

• 2 Managed Care Providers • Well Sense

• NH Healthy Families

Page 7: Managed Medicaid - NH.gov · Managed Care in December 2013 • Each Managed Care Plan designated a Transportation Broker • Meridian – Access 2 Care (A2C) • Well Sense – Coordinated

NH Healthy Families Well Sense

A2C CTS

July 2014 – July 30, 2015

Page 8: Managed Medicaid - NH.gov · Managed Care in December 2013 • Each Managed Care Plan designated a Transportation Broker • Meridian – Access 2 Care (A2C) • Well Sense – Coordinated

Managed Care in August 2015

• 2 Managed Care Providers • Well Sense

• NH Healthy Families

Page 9: Managed Medicaid - NH.gov · Managed Care in December 2013 • Each Managed Care Plan designated a Transportation Broker • Meridian – Access 2 Care (A2C) • Well Sense – Coordinated

NH Healthy Families Well Sense

CTS CTS

August 1, 2015

Page 10: Managed Medicaid - NH.gov · Managed Care in December 2013 • Each Managed Care Plan designated a Transportation Broker • Meridian – Access 2 Care (A2C) • Well Sense – Coordinated

Coordinated Transportation Solutions Contact Information

• www.ctstransit.com

• 203-736-8810

• Dave White – President – [email protected]

• Ed Platt – Provider Relations Director – [email protected]

• Mike Cloutier – Provider Relations Field Manager – [email protected]

Page 11: Managed Medicaid - NH.gov · Managed Care in December 2013 • Each Managed Care Plan designated a Transportation Broker • Meridian – Access 2 Care (A2C) • Well Sense – Coordinated

Governors Commission on Medicaid Managed Care

• http://governor.nh.gov/commissions-task-forces/medicaid-care/2015.htm

CORRECTIONAL MANAGED HEALTH CARE … 05, 2014 · correctional managed health care quality improvement plan ... correctional managed health care quality improvement plan . ... managed

Managed care organization

California Department of Managed Health Care€¦ · California Department of Managed Health Care

Chapter 9 Managed Care and Managed Care Organizations (MCOs)

Care Managed Membership

MANAGED CARE. n MANAGED CARE PLANS COMBINE THE DELIVERY OF HEALTH CARE WITH THE FINANCING OF THAT CARE

Managed Care Contracts

Journal of Managed Care Medicine - NAMCP of Managed Care Medicine Vol. 9, No. 1 3 Journal of JOURNAL Managed Care Medicine OF MANAGED CARE MEDICINE 4435 Waterfront Drive, Suite 101

CORRECTIONAL MANAGED HEALTH CARE … MANAGED HEALTH CARE COMMITTEE AGENDA ... Joint Infection Control Committee Update ... Grahm called the Correctional Managed Health Care Committee

Managed Care Report

Statewide Medicaid Managed Care (SMMC) …...Statewide Medicaid Managed Care (SMMC) Managed Care Plan Report Guide 4-17-13 (For use with the August 1, 2013 Long-Term Care Managed Care

Managed long-term care: Perspectives from a Managed Care Organization October 24, 2011 Managed Long-Term Care:

Texas Medicaid Managed Care and Children’s Health ... · Texas Medicaid Managed Care and Children’s Health Insurance Program . ... Texas Medicaid Managed Care and Children’s

Statewide Medicaid Managed Care (SMMC) Managed Care Plan ...€¦ · Statewide Medicaid Managed Care (SMMC) Managed Care Plan . Report Guide . Effective 10-1-17 . ... submission directions

Medicaid Managed Care

Medicaid Managed Care Preventive Services and Vaccinations€¦ · Medicaid Managed Care Preventive Services and Vaccinations . ... Medicaid Managed Care Preventive Services and Vaccinations

Statewide Medicaid Managed Care (SMMC) - Apteanportals.computility.com/Portals/46/Statewide Medicaid Managed Care... · Statewide Medicaid Managed Care (SMMC) ... Statewide Medicaid

A2C Alien invasion

Managed Care and Stakeholder Partnerships...•Managed care basics • Why states are looking at managed care with a focus on long term services and supports • Where managed care

Evolution of Managed Care. Introduction What is Managed Care? Brief History

Managed Care Quarterly - McGuireWoodsmedia.mcguirewoods.com/publications/2017/Managed-Care...In the next issue of McGuireWoods’ Managed Care Quarterly, look for Part 2, discussing

ACCREDITATION STANDARDS FOR MANAGED CARE … Care... · Accreditation Standard for Managed Care Organisations Version 4 November 2011 Page | 3 2. INTRODUCTION: 2.1 Managed care ,

Managed Care Organizations. Managed Care Continuum Use of Managed Care Techniques Less More Traditional Indemnity Health Plan Traditional with Cost Containment

Transition to Managed Care for New York State Foster Care ... › files › misc › 11 › ocfs-ta-kickoff... · (e.g., Managed Care, Managed Long Term Care) • The integration

Managed Care Economics Health Care Finance From the Blues to Managed Care

Managed Care Supplement

Managed Care Organizations

Managed Care JPKM

New York State Department of Health Division of Managed ... · Managed Care Plan Directory ... Managed Care Plan: Health Insurance Plan of Greater New York ... Managed Care Plan:

DRAFT MEDICAID MANAGED CARE QUALITY STRATEGY · Medicaid managed care program Louisiana’s new managed care program starts January, 2020 Medicaid managed care measures are being

Managed Care Update

Managed long-term care: Perspectives from a Managed Care Organization

Apple Health Managed Care - Washington State Health Care ... · Apple Health Managed Care Table of Contents Apple Health Managed Care Child Survey, September 2017 ¸ DataStat, Inc