NASHP

DECEMBER 10, 2021

ACO Accountable Care Organizations. CBCM Community Based Care Management Program. CDC Centers for Disease Control and Prevention. NCQA National Committee for Quality Assurance. PCCM Primary Care Case Management. PH-MCO Physical Health Managed Care Organization. Acronym Guide.

Medicaid 120

Medicaid Primary Care Prevention Nursing 120

NASHP

DECEMBER 15, 2021

Medicaid reimbursement for CHW services has been added to the state plan, and some of Rhode Island’s Accountable Care Entities also employ CHWs in managed care settings. In addition, the Health Home state plan option was authorized under the Affordable Care Act to coordinate care for beneficiaries with chronic conditions.

Medicaid 52

Medicaid Accountable Care Accountability Quality Assurance 52

NASHP

AUGUST 24, 2023

Blue Shield offers a range of palliative care services, including: Value-based purchasing: Over the past decade, state Medicaid agencies have designed and implemented a range of initiatives focused on value, using payment to incentivize provider behaviors that can reduce unnecessary care and improve outcomes.

Medicaid 52

Medicaid Quality Assurance Quality of Care Hospitals 52

NASHP

AUGUST 23, 2021

[ii] These shortages of primary care providers (PCPs), who serve as the entry point to medical care and often play a large role in coordinating patient care, create challenges for residents of rural areas, the PCPs who serve them, and the Medicaid agencies responsible for providing access to services for program participants throughout the state.

Primary Care 62

Primary Care Medicaid Accountability Quality Improvement 62