NASHP

AUGUST 23, 2021

Primary care case management (PCCM) programs are one of the oldest types of Medicaid managed care, but over time most states have shifted to use managed care organizations (MCOs) to deliver services to Medicaid participants. ii] Rural areas are highly likely to suffer from shortages of primary care and other providers.

Primary Care 65

Primary Care Medicaid Accountability Quality Improvement 65

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. SPA State Plan Amendment.

Medicaid 122

Medicaid Primary Care Prevention Nursing 122

Health Dialog

AUGUST 6, 2012

If you have questions afterwards, you may feel left on your own to manage your care. As a primary care doctor, the challenges my patients faced were frustrating me, too. I wanted my practice to provide easy access to comprehensive medical care. It’s a new way to organize how a primary care office works.

Quality Assurance 40

Quality Assurance Primary Care Doctors Private Practices 40

NASHP

APRIL 17, 2023

However, there are several common elements in these processes, including that the measure has been validated, is evidence-based, is regularly updated — and a group of leaders in the field have determined that each measures an important aspect of care.

Medicaid 52

Medicaid Quality Assurance Quality Improvement Quality Review 52

Icanotes

OCTOBER 27, 2021

The client lacks consistent primary care: Some insurance companies will require that clients receive documented, regular care from their primary care physician before covering the costs of mental health treatments or medications. How To Prevent Denied Mental Health Claims.

Quality Assurance 52

Quality Assurance Primary Care Healthcare Providers Healthcare 52

NASHP

AUGUST 24, 2023

Patient-Centered Medical Homes (PCMH) Similarly, states have made significant investments in PCMHs, a model that features multidisciplinary teams and comprehensive, coordinated care. States also frequently include additional requirements, such as specific staffing configurations, a focus on integrated care, and other clinical capacity. (T)he

Medicaid 52

Medicaid Quality Assurance Quality of Care Hospitals 52