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… results in Managed Care.
- September 20, 2013
Network Adequacy in Medicaid Managed Care
Read moreAs Medicaid managed care expands to include more beneficiaries, and especially those with special health care needs, strong legal protections are needed to ensure that enrollees have access to high quality, medically necessary services. Existing federal law sets a floor of to ensure that Medicaid managed care plans have adequate provider…
- July 23, 2013
California Medi-Cal Managed Care Quality Information
Read moreIn accordance with federal requirements, MMCD contracts with an External Quality Review Organization (EQRO) to evaluate the care provided to beneficiaries by Medi-Cal managed care plans in the areas of quality, access and timeliness. The results of these external quality review activities are presented in various quarterly and annual…
