A Guide to Oversight, Transparency, and Accountability in Medicaid Managed Care

Executive Summary

In this publication, NHeLP attorneys have drawn upon decades of experience to support stakeholders as they embark on, or continue to engage in, Medicaid managed care work. NHeLP’s A Guide to Oversight, Transparency, and Accountability in Medicaid Managed Care provides a robust set of tools, tips, and techniques to obtain information about state’s Medicaid managed care programs. It explains how advocates, beneficiaries, and others can this information to ensure that managed care companies and state Medicaid agencies are fulfilling their obligations to enrollees and to taxpayers.