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How We Help Medicaid & Long-Term Services and Supports

NCQA

Service Coordination and Monitoring: “MCOs did not adequately coordinate or monitor beneficiaries’ quality of care.” LTSS Distinction ensures that care supports individuals in the community, reducing the need for facility-based care. In turn, states can reallocate resources elsewhere.

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Improving Oral Health Access through Managed Care Quality Initiatives in Pennsylvania

NASHP

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.