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Improving Oral Health Access through Managed Care Quality Initiatives in Pennsylvania

NASHP

AUGUST 15, 2022

As highlighted in a 2020 Center for Medicaid and CHIP Services informational bulletin , Pennsylvania Medicaid has improved oral health access and quality of care by requiring MCOs to hire a dental director and execute performance improvement projects (PIPs) for pediatric preventative dental care. CMS 416 preventative services.

Medicaid 52
Medicaid Quality Review Prevention Quality Improvement 52
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State Approaches to Behavioral Health Measures in Medicaid Managed Care

NASHP

APRIL 17, 2023

Some states also prepare reports of individual plan performance for stakeholders. These vary in format, extent, and target audience. For example: Some states direct those interested in obtaining information about individual MCO’s performance to NCQA’s scorecards.

Medicaid 52
Medicaid Quality Assurance Quality Improvement Quality Review 52
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