An Evaluation of Contracts Between Managed Care Organizations and Community Mental Health and Substance Abuse Treatment and Prevention Agencies and Between State Medicaid Agencies and Managed Care Organizations
A descriptive examination of: (1) the structure a content of provider network agreements between managed care organizations (MCOs) a community mental health a substance abuse (MH/SA) treatment a prevention agencies, proving an assessment of provider contracts to identify the meaning of these instruments for MH/SA service providers, group purchasers, MCOs, individual consumers, a public policy makers; a 2) service agreements between State Medicaid agencies a MCOs for mental health a substance abuse treatment services, addressing enrollment, benefits a services, duties, a quality assurance.For example, Floridaa#39;s mental health contract includes aquot;community mental health services, aquot; described as follows: ... Such services must be provided in accordance with the policy and service provision specified in the Community Mental Health Services Provider Handbook. ... and refer toaquot; qualified Medicaid service providers licensed to provide a broader range of covered services, including day treatment, anbsp;...
| Title | : | An Evaluation of Contracts Between Managed Care Organizations and Community Mental Health and Substance Abuse Treatment and Prevention Agencies and Between State Medicaid Agencies and Managed Care Organizations |
| Author | : | Sara Rosenbaum, Karen Silver, Elizabeth Wehr |
| Publisher | : | DIANE Publishing - 1998-12-01 |
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