Ohio bundled comments from 17 community listening classes and two general public requests for info when building its procurement vision for Medicaid managed care. 

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Florida has utilized liquidated damages provisions inside the state agreement to gather monetary penalties through the point out’s Medicaid MCOs for violations of provider community adequacy necessities and a computer software glitch that resulted in failed or improperly delayed payments to vendors.

If somebody is angry or depressed, eating will not likely remedy these situations and could make the underlying difficulties worse.

In anticipation of your point out’s up coming Medicaid managed care procurement, Washington passed laws demanding the state company to adopt community adequacy expectations for behavioral health suppliers and establish possibilities to reduce service provider administrative burden, which could include things like limiting the quantity of MCOs functioning in a location.   

Indiana now calls for its MCOs to put up selected specifics of prior authorizations online and has recommended that an interim committee research whether or not health care companies which has a history of approvals must be exempt from Medicaid MCO prior authorizations (occasionally referred to as gold-carding). 

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The report also identified that two-thirds of incomplete reports didn't consist of a area for the MCO to enter or report on the list of details features necessary to compute MLR. Furthermore, the OIG report observed that sixteen states documented that they didn't review all MLR knowledge components for precision.   

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