Dataset Viewer
Features
stringlengths 3
63
| Program type
stringclasses 10
values | Statewide or region-specific?
stringlengths 9
1.05k
| Federal operating authority
stringclasses 34
values | Program start date
stringlengths 8
10
| Waiver expiration date (if applicable)
stringdate 2021-12-27 00:00:00
2030-12-31 00:00:00
⌀ | If the program ended in 2020; indicate the end date
stringclasses 1
value | Populations enrolled: Low-income adults not covered under ACA Section VIII (excludes pregnant women and people with disabilities)
stringclasses 4
values | Populations enrolled: Low-income adults covered under ACA Section VIII (excludes pregnant women and people with disabilities)
stringclasses 4
values | Populations enrolled: Aged; Blind or Disabled Children or Adults
stringclasses 4
values | Populations enrolled: Non-Disabled Children (excludes children in foster care or receiving adoption assistance)
stringclasses 4
values | Populations enrolled: Individuals receiving Limited Benefits (excludes partial duals)
stringclasses 4
values | Populations enrolled: Full Duals
stringclasses 4
values | Populations enrolled: Children with Special Health Care Needs
stringclasses 4
values | Populations enrolled: American Indian/Alaska Native
stringclasses 3
values | Populations enrolled: Foster Care and Adoption Assistance Children
stringclasses 3
values | Populations enrolled: Enrollment choice period
stringclasses 6
values | Populations enrolled: Enrollment broker name (if applicable)
stringclasses 30
values | Populations enrolled: Notes on enrollment choice period
stringlengths 2
627
⌀ | Benefits covered: Inpatient hospital physical health
stringclasses 1
value | Benefits covered: Inpatient hospital behavioral health (MH and/or SUD)
stringclasses 1
value | Benefits covered: Outpatient hospital physical health
stringclasses 1
value | Benefits covered: Outpatient hospital behavioral health (MH and/or SUD)
stringclasses 1
value | Benefits covered: Partial hospitalization
stringclasses 1
value | Benefits covered: Physician
stringclasses 1
value | Benefits covered: Nurse practitioner
stringclasses 1
value | Benefits covered: Rural health clinics and FQHCs
stringclasses 1
value | Benefits covered: Clinic services
stringclasses 1
value | Benefits covered: Lab and x-ray
stringclasses 1
value | Benefits covered: Prescription drugs
stringclasses 1
value | Benefits covered: Prosthetic devices
stringclasses 1
value | Benefits covered: EPSDT
stringclasses 1
value | Benefits covered: Case management
stringclasses 1
value | Benefits covered: SSA Section 1945-authorized Health Home
stringclasses 1
value | Benefits covered: Home health services (services in home)
stringclasses 1
value | Benefits covered: Family planning
stringclasses 1
value | Benefits covered: Dental services (medical/surgical)
stringclasses 1
value | Benefits covered: Dental (preventative or corrective)
stringclasses 1
value | Benefits covered: Personal care (state plan option)
stringclasses 1
value | Benefits covered: HCBS waiver services
stringclasses 1
value | Benefits covered: Private duty nursing
stringclasses 1
value | Benefits covered: ICF-IDD
stringclasses 1
value | Benefits covered: Nursing facility services
stringclasses 1
value | Benefits covered: Hospice care
stringclasses 1
value | Benefits covered: Non-Emergency Medical Transportation
stringclasses 1
value | Benefits covered: Institution for Mental Disease inpatient treatment for people ages 21-64 defined by 42 CFR $438.6(e) as an 'in lieu of' benefit
stringclasses 1
value | Benefits covered: Other (e.g.; nurse midwife services; freestanding birth centers; podiatry; etc.)
stringlengths 1
720
⌀ | Quality assurance and improvement: HEDIS data required?
stringclasses 2
values | Quality assurance and improvement: CAHPS data required?
stringclasses 2
values | Quality assurance and improvement: Accreditation required?
stringclasses 4
values | Quality assurance and improvement: Accrediting organization
stringclasses 15
values | Quality assurance and improvement: EQRO contractor name (if applicable)
stringclasses 29
values | Performance incentives: Payment bonuses/differentials to reward plans
stringclasses 1
value | Performance incentives: Preferential auto-enrollment to reward plans
stringclasses 1
value | Performance incentives: Public reports comparing plan performance on key metrics
stringclasses 1
value | Performance incentives: Withholds tied to performance metrics
stringclasses 1
value | Performance incentives: MCOs/PHPs required or encouraged to pay providers for value/quality outcomes
stringclasses 1
value | Participating plans: Plans in Program
stringlengths 4
1.26k
| Notes: Program notes
stringlengths 30
1.48k
⌀ | State
stringlengths 2
2
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Integrated Care Network (ICN) | Primary Care Case Management Entity (PCCM Entity) | Statewide | 1915(b);1915(b)/1915(c) | 10/1/2018 | 9/30/2023 | null | Voluntary | Voluntary | Pre-assigned | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | X | null | null | null | null | null | null | null | null | null | null | null | null | null | null | No | No | No | null | null | null | null | null | X | null | Alabama Select Network | Only includes nursing home level of care for SNF recipients and those on Elderly and Disabled and Alabama Community Transitions Waivers. | AL |
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PACE | Program of All-inclusive Care for the Elderly (PACE) | Mobile and Baldwin Counties | PACE | 1/1/2012 | null | null | Voluntary | Voluntary | Voluntary | Exempt | null | null | Open enrollment that begins the first of every month; disenrollment is effective the last day of the month chosen | X | X | X | X | X | X | X | null | X | X | X | null | null | X | null | X | null | X | X | X | null | X | null | X | X | X | null | Anything else that is determined to be medically necessary by the interdisciplinary team. | No | No | No | null | null | null | null | null | null | null | Mercy Life of Alabama | null | AL |
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Alabama Coordinated Health Network (ACHN) | Primary Care Case Management Entity (PCCM Entity) | Statewide | 1915(b) | 10/1/2019 | 9/30/2023 | null | Mandatory | Mandatory | Mandatory | Mandatory | Mandatory | Voluntary | Mandatory | Pre-assigned | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | X | null | null | null | null | null | null | null | null | null | null | null | null | null | null | Yes | No | No | null | IPRO | X | null | X | null | null | Alabama Coordinated Health Network | 7 networks with one per region | AL |
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Arkansas Total Care | Comprehensive MCO + MLTSS | Statewide | 1915(b)/1915(c),1915(b)/1915(i) | 10/1/2017 | 3/31/2027 | null | Voluntary | Voluntary | Voluntary | Voluntary | Voluntary | Voluntary | Voluntary | Voluntary | Other | null | 90 days | X | X | X | X | X | X | X | X | X | X | X | X | X | X | null | X | X | null | null | X | X | X | X | X | X | X | X | null | Yes | No | No | null | Qsource | null | null | null | null | X | Arkansas Total Care | This MCO is currently under three different Waiver types and each has their own expiration date as follows: C-Waiver 02/28/2027; B-Waiver 03/31/2027 and I-State Plan Amendment 03/01/2024. Members are enrolled into a managed care organization when an independent assessment shows that they meet tier 2 or tier 3 level of need, due to functional deficits. | AR |
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Summit Community Care | Comprehensive MCO + MLTSS | Statewide | 1915(b)/1915(c),1915(b)/1915(i) | 10/1/2017 | 3/31/2027 | null | Voluntary | Voluntary | Voluntary | Voluntary | Voluntary | Voluntary | Voluntary | Voluntary | Other | Qsource | 90 days | X | X | X | X | X | X | X | X | X | X | X | X | X | X | null | X | X | null | null | X | X | X | X | X | X | X | X | null | Yes | No | No | null | Qsource | null | null | null | null | X | Summit Community Care | This MCO is currently under three different Waiver types and each has their own expiration date as follows: C-Waiver 02/28/2027; B-Waiver 03/31/2027 and I-State Plan Amendment 03/01/2024. Members are enrolled into a managed care organization when an independent assessment shows that they meet tier 2 or tier 3 level of need, due to functional deficits. | AR |
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Empower Healthcare Solutions | Comprehensive MCO + MLTSS | Statewide | 1915(b)/1915(c) | 10/1/2017 | 3/31/2027 | null | Voluntary | Voluntary | Voluntary | Voluntary | Voluntary | Voluntary | Voluntary | Voluntary | Other | Qsource | 90 days | X | X | X | X | X | X | X | X | X | X | X | X | X | X | null | X | X | null | null | X | X | X | X | X | X | X | X | null | Yes | No | No | null | Qsource | null | null | null | null | X | Empower Healthcare Solutions | This MCO is currently under three different Waiver types and each has their own expiration date as follows: C-Waiver 02/28/2027; B-Waiver 03/31/2027 and I-State Plan Amendment 03/01/2024. Members are enrolled into a managed care organization when an independent assessment shows that they meet tier 2 or tier 3 level of need, due to functional deficits. | AR |
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Delta Dental Plan Arkansas | Dental only (PAHP) | Statewide | 1915(b) | 1/1/2018 | 12/31/2022 | null | Mandatory | Mandatory | Mandatory | Mandatory | Mandatory | Mandatory | Voluntary | Mandatory | Pre-assigned | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | X | X | null | null | null | null | null | null | null | null | null | No | No | No | null | null | null | null | null | null | null | Delta Dental Smiles | null | AR |
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MCNA Insurance Company | Dental only (PAHP) | Statewide | 1915(b) | 1/1/2018 | 12/31/2022 | null | Mandatory | Mandatory | Mandatory | Mandatory | Mandatory | Mandatory | Voluntary | Mandatory | Pre-assigned | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | X | X | null | null | null | null | null | null | null | null | null | No | No | No | null | null | null | null | null | null | null | MCNA Dental | null | AR |
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Central Arkansas Development | Non-Emergency Medical Transportation | Statewide | 1915(b),1902(a)(70) NEMT | 1/1/2019 | 12/31/2022 | null | Mandatory | Mandatory | Mandatory | Mandatory | Mandatory | Mandatory | Voluntary | Mandatory | Pre-assigned | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | X | null | null | No | No | No | null | null | null | null | null | null | null | Central Arkansas Development | null | AR |
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Area Agency on Aging of Southeast | Non-Emergency Medical Transportation | Statewide | 1915(b),1902(a)(70) NEMT | 1/1/2019 | 12/31/2022 | null | Mandatory | Mandatory | Mandatory | Mandatory | Mandatory | Mandatory | Voluntary | Mandatory | Pre-assigned | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | X | null | null | No | No | No | null | null | null | null | null | null | null | Area Agency on Aging of Southeast | null | AR |
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Southeastrans, Inc | Non-Emergency Medical Transportation | Statewide | 1915(b),1902(a)(70) NEMT | 1/1/2019 | 12/31/2022 | null | Mandatory | Mandatory | Mandatory | Mandatory | Mandatory | Mandatory | Voluntary | null | Pre-assigned | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | X | null | null | No | No | No | null | null | null | null | null | null | null | Southeastrans, Inc | null | AR |
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PCCM | Primary Care Case Management (PCCM) | Statewide | 1932(a) | 1/1/2014 | null | null | Mandatory | Voluntary | Exempt | Voluntary | null | AFMC | null | X | X | X | X | X | null | X | X | X | X | X | X | X | X | null | X | X | X | X | X | null | X | X | null | null | null | null | null | Yes | Yes | No | null | null | X | null | X | X | X | Primary Care Case Management | null | AR |
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PACE | Program of All-inclusive Care for the Elderly (PACE) | Statewide | PACE | 5/27/2008 | null | null | Voluntary | Exempt | null | null | null | null | X | null | X | null | null | null | null | null | X | X | X | X | null | X | null | X | null | null | X | X | X | null | null | X | X | X | null | null | No | No | No | null | null | null | null | null | null | null | PACE | PACE is incorporated into the AR Medicaid State Plan and is not under waiver authority. | AR |
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Arkansas Health & Wellness Solutions | Other Prepaid Health Plan (PHP) (limited benefits) | Statewide | 1115(a) (Medicaid demonstration waivers) | 1/1/2014 | 12/31/2026 | null | Varies | Voluntary | Mandatory | Other | null | 42 days | X | X | X | X | X | X | X | X | X | X | X | X | X | null | null | X | X | null | null | null | null | X | null | X | X | X | X | null | No | No | No | null | null | null | null | null | null | X | Arkansas Health & Wellness Solutions | ARWorks Waiver ended 12/31/21 and ARHOME begin 1/1/22. Low-income adults not covered under ACA Section VIII are mandatorily enrolled, but can choose to disenroll from the program. | AR |
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Arkansas Blue Cross Blue Shield | Other Prepaid Health Plan (PHP) (limited benefits) | Statewide | 1115(a) (Medicaid demonstration waivers) | 1/1/2014 | 12/31/2026 | null | Varies | Voluntary | Mandatory | Other | null | 42 days | X | X | X | X | X | X | X | X | X | X | X | X | X | null | null | X | X | null | null | null | null | X | null | X | X | X | X | null | No | No | No | null | null | null | null | null | null | X | Arkansas Blue Cross Blue Shield | ARWorks Waiver ended 12/31/21 and ARHOME begin 1/1/22. Low-income adults not covered under ACA Section VIII are mandatorily enrolled, but can choose to disenroll from the program. | AR |
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QCA Health Plan, Inc | Other Prepaid Health Plan (PHP) (limited benefits) | Statewide | 1115(a) (Medicaid demonstration waivers) | 1/1/2014 | 12/31/2026 | null | Varies | Voluntary | Mandatory | Other | null | 42 days | X | X | X | X | X | X | X | X | X | X | X | X | X | null | null | X | X | null | null | null | null | X | null | X | X | X | X | null | No | No | No | null | null | null | null | null | null | X | QCA Health Plan, Inc | ARWorks Waiver ended 12/31/21 and ARHOME begin 1/1/22. Low-income adults not covered under ACA Section VIII are mandatorily enrolled, but can choose to disenroll from the program. | AR |
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Qualchoice Life & Health Insurance | Other Prepaid Health Plan (PHP) (limited benefits) | Statewide | 1115(a) (Medicaid demonstration waivers) | 1/1/2015 | 12/31/2026 | null | Varies | Voluntary | Mandatory | Other | null | 42 days | X | X | X | X | X | X | X | X | X | X | X | X | X | null | null | X | X | null | null | null | null | X | null | X | X | X | X | null | No | No | No | null | null | null | null | null | null | X | Qualchoice Life & Health Insurance | ARWorks Waiver ended 12/31/21 and ARHOME begin 1/1/22. Low-income adults not covered under ACA Section VIII are mandatorily enrolled, but can choose to disenroll from the program. | AR |
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HMO Partners, Inc | Other Prepaid Health Plan (PHP) (limited benefits) | Statewide | 1115(a) (Medicaid demonstration waivers) | 1/1/2021 | 12/31/2026 | null | Varies | Voluntary | Mandatory | Other | null | 42 days | X | X | X | X | X | X | X | X | X | X | X | X | X | null | null | X | X | null | null | null | null | X | null | X | X | X | X | null | No | No | No | null | null | null | null | null | null | X | HMO Partners, Inc | ARWorks Waiver ended 12/31/21 and ARHOME begin 1/1/22. Low-income adults not covered under ACA Section VIII are mandatorily enrolled, but can choose to disenroll from the program. | AR |
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Arizona Health Care Cost Containment System | Comprehensive MCO + MLTSS | Statewide | 1115(a) (Medicaid demonstration waivers) | 7/13/1982 | 9/30/2022 | null | Mandatory | Mandatory | Mandatory | Mandatory | Mandatory | Mandatory | Voluntary | Mandatory | Other | null | The enrollment choice period for members who are auto-assigned is 90 days. After the initial enrollment choice period; members receive an annual enrollment choice period of 60 days. | X | X | X | X | null | X | X | X | X | X | X | X | X | X | null | X | X | X | null | null | null | X | null | X | X | X | X | Freestanding birth centers; podiatry; naturopathic physicians and adult occupational therapy. | Yes | Yes | No | Starting in Calendar Year 2020; HEDIS performance measures are being calculated by the MCOs with validation through the EQRO; NCQA accreditation will be required of the MCOs no later than October 2023. CAHPS surveys continue to be conducted by the EQRO on AHCCCS' behalf. | Health Services Advisory Group | X | X | X | X | X | United Healthcare; Care 1st; DCS/CHP; Health Choice Arizona; Arizona Complete Health-Complete Care Plan; Mercy Care; Molina Complete Care of Arizona; Banner University Family Care | *Enrollment (voluntary with auto-enrollment) - members have choice and if they do not choose then there are rules for where they are auto-enrolled depending on the program. If an individual does not choose their plan prior to eligibility being determined; they are auto-enrolled in a health plan and given 90 days to choose a different plan. Most members in these groups are mandatorily enrolled; but American Indian/Alaska Native members of these populations are voluntarily enrolled. | AZ |
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Arizona Health Care Cost Containment System (MLTSS) | MLTSS only (PIHP and/or PAHP) | Statewide | 1115(a) (Medicaid demonstration waivers) | 7/13/1982 | 9/30/2022 | null | Mandatory | Mandatory | Mandatory | Mandatory | Mandatory | Mandatory | Voluntary | Mandatory | Other | null | The enrollment choice period for members who are auto-assigned is 90 days. After the initial enrollment choice period; members receive an annual enrollment choice period of 60 days. | X | X | X | X | null | X | X | X | X | X | X | X | X | X | null | X | X | X | X | X | X | X | X | X | X | X | X | Freestanding birth centers; podiatry; naturopathic physicians and adult occupational therapy. | Yes | Yes | No | Starting in Calendar Year 2020; HEDIS performance measures are being calculated by the MCOs with validation through the EQRO; NCQA accreditation will be required of the MCOs no later than October 2023. CAHPS surveys continue to be conducted by the EQRO on AHCCCS' behalf. | Health Services Advisory Group | X | X | X | X | X | DES/Division of Developmental Disabilities (MLTSS); United Healthcare (MLTSS); Mercy Care (MLTSS); Banner University Family Care (MLTSS) | *Enrollment (voluntary with auto-enrollment) - members have choice and if they do not choose then there are rules for where they are auto-enrolled depending on the program. If an individual does not choose their plan prior to eligibility being determined; they are auto-enrolled in a health plan and given 90 days to choose a different plan. Most members in these groups are mandatorily enrolled; but American Indian/Alaska Native members of these populations are voluntarily enrolled. | AZ |
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Arizona Health Care Cost Containment System (SMI) | Behavioral Health Organization (BHO) only (PIHP and/or PAHP) | Statewide | 1115(a) (Medicaid demonstration waivers) | 7/13/1982 | 9/30/2022 | null | Mandatory | Mandatory | Mandatory | Mandatory | Mandatory | Mandatory | Voluntary | Mandatory | Other | null | The enrollment choice period for members who are auto-assigned is 90 days. After the initial enrollment choice period; members receive an annual enrollment choice period of 60 days. | X | X | X | X | null | X | X | X | X | X | X | X | X | X | null | X | X | X | null | null | null | X | null | X | X | X | X | Freestanding birth centers; podiatry; naturopathic physicians and adult occupational therapy. | Yes | Yes | No | Starting in Calendar Year 2020; HEDIS performance measures are being calculated by the MCOs with validation through the EQRO; NCQA accreditation will be required of the MCOs no later than October 2023. CAHPS surveys continue to be conducted by the EQRO on AHCCCS' behalf. | Health Services Advisory Group | X | X | X | X | X | Mercy Care RBHA (SMI); Arizona Complete Health- Complete Care Plan RBHA (SMI); Health Choice Arizona RBHA (SMI) | *Enrollment (voluntary with auto-enrollment) - members have choice and if they do not choose then there are rules for where they are auto-enrolled depending on the program. If an individual does not choose their plan prior to eligibility being determined; they are auto-enrolled in a health plan and given 90 days to choose a different plan. Most members in these groups are mandatorily enrolled; but American Indian/Alaska Native members of these populations are voluntarily enrolled. | AZ |
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County Organized Health Systems (COHS) Model | Comprehensive MCO + MLTSS | Del Norte, Humboldt, Lake, Lassen, Marin, Mendocino, Merced, Modoc, Monterey, Napa, Orange, San Luis Obispo, San Mateo, Santa Barbara, Santa Cruz, Shasta, Siskiyou, Solano, Sonoma, Trinity, Ventura, Yolo | 1115(a) (Medicaid demonstration waivers) | 10/1/1995 | 12/31/2021 | null | Mandatory | Mandatory | Mandatory | Mandatory | Mandatory | Mandatory | Mandatory | Voluntary | Mandatory | Pre-assigned | null | null | X | null | X | X | null | X | X | X | X | X | X | X | X | X | null | X | X | null | null | null | null | X | X | X | X | X | null | Optional benefits: podiatry, chiropractic services, acupuncture, audiology, occupational therapy, and speech therapy, and provisional post-partum care extension (PPCE) | Yes | Yes | No | null | Health Services Advisory Group | X | null | X | null | X | CenCal Health/San Luis Obispo; CenCal Health/Santa Barbara; Health Plan of San Mateo; Partnership HealthPlan of CA/Northeast; Partnership HealthPlan of CA/Northwest; Partnership HealthPlan/Southeast; Partnership HealthPlan/Southwest; Central California Alliance for Health/Merced; Central California Alliance for Health/Monterey Santa Cruz; CalOptima/Orange; Gold Coast Health Plan/Ventura | Full duals have the option to enroll in Cal Medi-Connect in CCI counties, otherwise, they are mandatory for enrollment. Children with Special Health Care Needs (CSHCN) are mandatory in all COHS counties except Ventura. CSHCN is voluntary in Ventura. For CY 2021 rating period we had the following in place: Prop 56 Value Based Purchasing - Behavioral Health Integration which we implemented via the 5% incentive pool Prop 56 Value Based Purchasing - Medi-Cal managed care health plans (MCPs) that will provide directed payments to providers for meeting specific measures aimed at improving care for certain high-cost or high-need populations. These risk-based incentive payments will be targeted at physicians that meet specific achievement on metrics targeting areas such as behavioral health integration; chronic disease management; prenatal/post-partum care; and early childhood prevention. | CA |
Regional Model | Comprehensive MCO | Alpine, Amador, Butte, Calaveras, Colusa, El Dorado, Glenn, Imperial, Inyo, Mariposa, Mono, Nevada, Placer, Plumas, San Benito, Sierra, Sutter, Tehama, Tuolumne, Yuba | 1115(a) (Medicaid demonstration waivers) | 10/2/2013 | 12/31/2021 | null | Mandatory | Mandatory | Mandatory | Mandatory | Voluntary | Mandatory | Voluntary | Voluntary | Other | Health Care Options/MAXIMUS | Approximately 45 days | X | null | X | X | null | X | X | X | X | X | X | X | X | X | null | X | X | null | null | null | null | X | X | X | X | X | null | Optional benefits: podiatry, chiropractic services, acupuncture, audiology, occupational therapy, and speech therapy, and provisional post-partum care extension (PPCE). | Yes | Yes | No | null | Health Services Advisory Group | X | X | X | null | X | Molina Healthcare of CA-Imperial; Anthem Blue Cross Partnership Plan/San Benito; California Health & Wellness Plan/Imperial; California Health & Wellness Plan/Region 1; California Health & Wellness Plan/Region 2; Anthem Blue Cross Partnership Plan/Region 1; Anthem Blue Cross Partnership Plan/Region 2 | San Benito is voluntary due to only one commercial plan in the county. For CY 2021 rating period we had the following in place: Prop 56 Value Based Purchasing - Behavioral Health Integration which we implemented via the 5% incentive pool Prop 56 Value Based Purchasing - Medi-Cal managed care health plans (MCPs) that will provide directed payments to providers for meeting specific measures aimed at improving care for certain high-cost or high-need populations. These risk-based incentive payments will be targeted at physicians that meet specific achievement on metrics targeting areas such as behavioral health integration; chronic disease management; prenatal/post-partum care; and early childhood prevention. In non-COHS plan model types ICF-DD and nursing facility benefits are only covered for a limited period of time (month of admission plus 1 month) and then the member is disenrolled to FFS. | CA |
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Geographic Managed Care (GMC) Model | Comprehensive MCO + MLTSS | Sacramento, San Diego | 1115(a) (Medicaid demonstration waivers) | 6/1/1991 | 12/31/2021 | null | Mandatory | Mandatory | Mandatory | Mandatory | Varies | Mandatory | Voluntary | Voluntary | Other | Health Care Options (Maximus) | Approximately 45 days | X | null | X | X | null | X | X | X | X | X | X | X | X | X | null | X | X | null | null | null | null | X | X | X | X | X | null | Optional benefits: podiatry, chiropractic services, acupuncture, audiology, occupational therapy, and speech therapy, and provisional post-partum care extension (PPCE). | Yes | Yes | No | null | Health Services Advisory Group | X | X | X | null | X | KP Cal LLC-Placer; KP Cal LLC-El Dorado; KP Cal LLC-Amador; Aetna Better Health of CA/Sacramento; Blue Shield of California Promise/San Diego; Health Net/San Diego; KP Cal LLC/San Diego; Molina Healthcare of CA Partner Plan/San Diego; Aetna Better Health of CA/San Diego; UnitedHealthcare Community Plan/San Diego; Anthem Blue Cross Partnership Plan/Sacramento; Health Net/Sacramento; KP Cal LLC/Sacramento; Molina Healthcare of CA Partner Plan/Sacramento; Community Health Group-San Diego | Full duals are mandatory for managed care enrollment in CCI Counties (San Diego) and voluntary for all other counties (Sacramento). For CY 2021 rating period we had the following in place: Prop 56 Value Based Purchasing - Behavioral Health Integration which we implemented via the 5% incentive pool Prop 56 Value Based Purchasing - Medi-Cal managed care health plans (MCPs) that will provide directed payments to providers for meeting specific measures aimed at improving care for certain high-cost or high-need populations. These risk-based incentive payments will be targeted at physicians that meet specific achievement on metrics targeting areas such as behavioral health integration; chronic disease management; prenatal/post-partum care; and early childhood prevention. | CA |
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Senior Care Action Network (SCAN) | Comprehensive MCO + MLTSS | Los Angeles, Riverside, San Bernardino | 1915(a) | 1/1/1996 | 12/31/2021 | null | Voluntary | Voluntary | Voluntary | Exempt | null | null | null | X | null | X | X | X | X | X | X | X | X | X | X | null | X | null | X | null | null | null | null | null | null | X | X | X | X | null | Optional benefits: podiatry, chiropractic services, acupuncture, audiology, occupational therapy, speech therapy, and provisional post-partum care extension (PPCE) | Yes | No | No, but accreditation considered in plan selection criteria | Private credentialling organizations approved by DHCS | Health Services Advisory Group (HSAG) | null | null | null | null | null | SCAN Health Plan/Los Angeles; SCAN Health Plan Riverside/San Bernardino | null | CA |
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Program of All-Inclusive Care for the Elderly (PACE) | Program of All-inclusive Care for the Elderly (PACE) | Alameda, Contra Costa, Fresno, Humboldt, Los Angeles, Orange, Riverside, Sacramento, San Bernardino, San Diego, San Francisco, Santa Clara, Kings, Tulare, Madera, San Joaquin, Stanislaus, Kern, Placer, El Dorado, Sutter, Yuba | PACE | 1/1/1998 | null | null | Voluntary | Voluntary | Voluntary | Exempt | null | null | null | X | X | X | X | X | X | X | X | X | X | X | X | X | X | null | X | X | X | X | X | null | X | null | X | X | X | null | PACE is responsible for covering all Medicaid services, all Medicare services, and any other service determined necessary by the PACE Interdisciplinary Team to maintain a participant in their home or community. | No | No | No | null | null | null | null | null | null | null | Bakersfield PACE (Tulare); InnovAge California PACE Sacramento (San Joaquin); InnovAge California PACE- Sacramento (Sutter); InnovAge California PACE- Sacramento (Yuba); Neighborhood PACE (Riverside); Neighborhood PACE (San Bernardino); Redwood Coast Pace/Humboldt; San Diego PACE; St. Paul's PACE/San Diego; Sutter SeniorCare PACE/Sacramento; AltaMed Senior Buenacare/Los Angeles; Brandman Centers for Senior Care/Los Angeles; CalOptima PACE/Orange; Center for Elders Independence/Alameda; Center for Elders Independence/Contra Costa; Fresno PACE; InnovAge PACE/Riverside; InnovAge PACE/San Bernardino County; On Lok Lifeways/Alameda; On Lok Lifeways/Santa Clara; On Lok Lifeways/San Francisco; Family Health Centers of San Diego; Gary and Mary West PACE of Northern San Diego; Pacific PACE/Los Angeles; Stockton PACE/San Joaquin; Stockton PACE/Stanislaus; AltaMed Senior Buenacare/Orange; Bakersfield PACE (Kern); Central Valley PACE (Stanislaus); Central Valley PACE (San Joaquin); InnovAge California PACE- Sacramento (El Dorado); InnovAge California PACE- Sacramento (Placer); InnovAge California PACE- Sacramento- Sac; Coastline PACE; North East Medical Services; Sequoia PACE (Fresno); Sequoia PACE (Kings); Sequoia PACE (Tulare); Sequoia PACE(Madera) | null | CA |
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Dental Managed Care/Los Angeles | Dental only (PAHP) | Los Angeles | 1115(a) (Medicaid demonstration waivers),1915(a) | 4/1/1998 | 12/31/2021 | null | Voluntary | Voluntary | Voluntary | Voluntary | Voluntary | Voluntary | Voluntary | Voluntary | Voluntary | 60 days | Health Care Operations (Maximus) | null | null | null | null | null | null | null | null | X | null | X | null | null | X | X | null | null | null | X | X | null | null | null | null | null | null | X | null | null | Yes | Yes | No, but accreditation considered in plan selection criteria | Private credentialling organizations approved by DHCS | Health Services Advisory Group | null | null | X | null | X | Health Net Dental Plan/Los Angeles; Access Dental Plan/Los Angeles; LIBERTY Dental Plan/Los Angeles | null | CA |
Dental Managed Care/Sacramento | Dental only (PAHP) | Sacramento | 1115(a) (Medicaid demonstration waivers) | 1/1/1995 | 12/31/2021 | null | Mandatory | Mandatory | Mandatory | Mandatory | Mandatory | Mandatory | Mandatory | Voluntary | Voluntary | 60 days | Health Care Operations (Maximus) | null | null | null | null | null | null | null | null | X | null | X | null | null | X | X | null | null | null | X | X | null | null | null | null | null | null | X | null | null | Yes | Yes | No, but accreditation considered in plan selection criteria | Private credentialling organizations approved by DHCS | Liberty and Health Net: Attest Health Care Advisors and for Access: Crowe LLP | null | null | X | null | X | Health Net Dental Plan/Sacramento; Access Dental Plan/Sacramento; LIBERTY Dental Plan/Sacramento | null | CA |
Two-Plan Model | Comprehensive MCO + MLTSS | Alameda, Contra Costa, Fresno, Kern, Kings, Los Angeles, Madera, Riverside, San Bernardino, San Francisco, San Joaquin, Santa Clara, Stanislaus, Tulare | 1115(a) (Medicaid demonstration waivers) | 1/1/1996 | 12/31/2021 | null | Mandatory | Mandatory | Mandatory | Mandatory | Varies | Mandatory | Voluntary | Voluntary | Other | Health Care Options/MAXIMUS | Approximately 45 days | X | null | X | X | null | X | X | X | X | X | X | X | X | X | null | X | X | null | null | null | null | X | X | X | X | X | null | Optional benefits: podiatry, chiropractic services, acupuncture, audiology, occupational therapy, and speech therapy, and provisional post-partum care extension (PPCE). | Yes | Yes | No | null | Health Services Advisory Group | X | X | X | null | X | L.A. Care Health Plan/Los Angeles; Contra Costa Health Plan; Alameda Alliance for Health; Inland Empire Health Plan/Riverside; Inland Empire Health Plan/San Bernardino; Molina Healthcare of CA Partner Plan/Riverside; Molina Healthcare of CA Partner Plan/San Bernardino; San Francisco Health Plan; Health Plan of San Joaquin/San Joaquin; Health Plan of San Joaquin/Stanislaus; Santa Clara Family Health Plan; Health Net/Kern; Health Net/Los Angeles; Health Net/San Joaquin; Health Net/Stanislaus; Health Net/Tulare; CalViva Health/Fresno; CalViva Health/Kings; CalViva Health/Madera; Anthem Blue Cross Partnership Plan/Fresno; Anthem Blue Cross Partnership Plan/Kings; Anthem Blue Cross Partnership Plan/Madera; Anthem Blue Cross Partnership Plan/Alameda; Anthem Blue Cross Partnership Plan/Contra Costa; Anthem Blue Cross Partnership Plan/San Francisco; Anthem Blue Cross Partnership Plan/Santa Clara; Anthem Blue Cross Partnership Plan/Tulare; Kern Family Health Care | Full duals are mandatory for managed care enrollment in CCI Counties (Los Angeles, Riverside, San Bernardino, and Santa Clara) and voluntary for all other counties (Alameda, Contra Costa, Fresno, Kern, Kings, Madera, San Francisco, San Joaquin, Stanislaus, and Tulare). For CY 2021 rating period we had the following in place: Prop 56 Value Based Purchasing - Behavioral Health Integration which we implemented via the 5% incentive pool Prop 56 Value Based Purchasing - Medi-Cal managed care health plans (MCPs) that will provide directed payments to providers for meeting specific measures aimed at improving care for certain high-cost or high-need populations. These risk-based incentive payments will be targeted at physicians that meet specific achievement on metrics targeting areas such as behavioral health integration; chronic disease management; prenatal/post-partum care; and early childhood prevention. In non-COHS plan model types ICF-DD and nursing facility benefits are only covered for a limited period of time (month of admission plus 1 month) and then the member is disenrolled to FFS. Additionally, Two-Plan Model Plans operating in Los Angeles, Riverside, San Bernardino, and Santa Clara Counties cover some nursing facility benefits as part of Skilled Nursing Facility and Subacute Care Services past the limited period of time. | CA |
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Positive Healthcare/Los Angeles | Comprehensive MCO | Los Angeles | 1915(a) | 4/1/2002 | 12/31/2021 | null | Voluntary | Voluntary | Voluntary | Voluntary | Voluntary | null | null | null | X | null | X | X | null | X | X | X | X | X | X | X | X | X | null | X | X | null | null | null | null | X | X | X | X | X | null | Optional benefits: podiatry, chiropractic services, acupuncture, audiology, occupational therapy, and speech therapy, and provisional post-partum care extension (PPCE). | Yes | Yes | No | null | Health Services Advisory Group (HSAG) | null | null | null | null | X | Positive Healthcare/Los Angeles | AHF was formerly a Primary Care Case Management (PCCM) model and became a full-risk plan effective July 2019, however, their enrollment remains limited to specific populations. For CY 2021 rating period we had the following in place: Prop 56 Value Based Purchasing - Medi-Cal managed care health plans (MCPs) that will provide directed payments to providers for meeting specific measures aimed at improving care for certain high-cost or high-need populations. These risk-based incentive payments will be targeted at physicians that meet specific achievement on metrics targeting areas such as behavioral health integration; chronic disease management; prenatal/post-partum care; and early childhood prevention. | CA |
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Rady Children's Hospital San Diego (RCHSD) | Comprehensive MCO | San Diego | 1115(a) (Medicaid demonstration waivers) | 8/1/2018 | 12/31/2021 | null | Voluntary | Voluntary | Voluntary | Voluntary | Voluntary | null | null | null | X | null | X | X | null | X | X | X | X | X | X | X | X | X | null | X | X | null | null | null | null | X | X | null | X | X | null | Optional benefits: podiatry, chiropractic services, acupuncture, audiology, occupational therapy, and speech therapy, and provisional post-partum care extension (PPCE). | Yes | No | No | NCQA | Health Services Advisory Group (HSAG) | null | null | null | null | null | Rady Children's Hospital San Diego (RCHSD) | RCH was a pilot program which began in August 2018 serving special needs children and this contract will be terminating December 2021. The five eligible conditions for participation are Cystic Fibrosis, Hemophilia, Sickle Cell, Acute Lymphoblastic Leukemia, and Diabetes. | CA |
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Accountable Care Collaborative (ACC) | Primary Care Case Management Entity (PCCM Entity) | Statewide | 1915(b) | 7/1/2018 | 6/30/2023 | null | Mandatory | Mandatory | Mandatory | Mandatory | Mandatory | Mandatory | Mandatory | Mandatory | Mandatory | Other | Maximus Health Services, Inc. | Beneficiaries are passively enrolled and can choose their primary care provider at any time. | X | X | X | X | X | X | X | X | X | X | X | X | X | X | null | X | X | X | X | X | X | X | X | X | X | X | X | Note that all members enrolled in ACC are eligible for all 1932(a) state plan benefits (most of these benefits are state plan benefits and are paid FFS). They also get benefits covered under the 1915(b) waiver. All plans are responsible for providing behavioral health benefits under the 1915(b) waiver. | Yes | Yes | No | null | Health Services Advisory Group, Inc. | X | null | X | X | X | RAE 1: Rocky Mountain Health Plans; RAE 2: Northeast Health Partners; RAE 3: Colorado Access; RAE 4: Health Colorado, Inc.; RAE 5: Colorado Access; RAE 6: Colorado Community Health Alliance; RAE 7: Colorado Community Health Alliance; Denver Health Medicaid Choice (DMHC); Rocky Mountain Health Plans Prime | The Accountable Care Collaborative (ACC) program has seven regional plans called Regional Accountable Entities (RAEs). The RAEs operate as both PCCM Entity and PIHP program types. The state pays the RAEs a full-risk capitation payment for behavioral health services under the PIHP authority. The RAEs also get an administrative (not risk-based) per member per month payment for functions performed as a PCCM Entity. Denver Health Medicaid Choice (DHMC) and Rocky Mountain Health Plans Prime (RMHP Prime) both operate under MCO authority and receive a physical health capitation. | CO |
Program of All-inclusive Care for the Elderly (PACE) | Program of All-inclusive Care for the Elderly (PACE) | Adams, Arapahoe, Broomfield, Denver, Jefferson, Boulder, Weld (Southwest), Pueblo, El Paso, Delta, Montrose | PACE | 10/1/1991 | null | null | Voluntary | Voluntary | Voluntary | Exempt | null | Maximus Health Services, Inc. | There is no enrollment period; existing Medicaid members that meet the level of care may apply for PACE at any time. Members are enrolled on the first of the month. | X | X | X | X | X | X | X | null | X | X | X | X | null | X | null | X | null | X | X | X | null | X | null | X | X | X | null | PACE is an all-inclusive program. Some of the other available services include optometry, podiatry, rehabilitative services, adult day health center services, and transportation. | No | No | No | null | null | null | null | null | null | null | InnovAge - Loveland (PACE); VOANS (PACE); TRU Community Care (PACE); InnovAge - Thornton (PACE); Total Longterm Care; Rocky Mountain Health Care Services (PACE); InnovAge - Pueblo (PACE); InnovAge - Aurora (PACE); InnovAge - Lakewood (PACE) | null | CO |
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Medicaid Managed Care Program | Comprehensive MCO | Statewide | 1932(a);1945 Health Homes | 4/1/1994 | null | null | Mandatory | Mandatory | Mandatory | Mandatory | Voluntary | Mandatory | Exempt | 30 days | Maximus | null | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | null | null | null | null | X | X | X | Freestanding birth centers | Yes | Yes | Yes | NCQA | Qlarant | X | null | X | X | X | AmeriHealth Caritas District of Columbia; CareFirst Community Health Plan District of Columbia; MedStar Family Choice-DC | Full duals are eligible for enrollment if there is a Medicaid-enrolled dependent child in the household. Nursing facilities are covered by MCO for the first 30 consecutive days. The managed care P4P program is funded through a pre-determined withhold (generally the established profit margin for each MCO that is factored into the base per member per month payment rate) of each MCO's actuarially sound capitation payments during the applicable period of performance. MCOs must meet the minimum threshold for improvement for all three performance measures in order to earn any portion of the withhold. The P4P program is suspended due to managed care solicitations that have limited successive contract periods and MCOs for effective administration. DHCF plans to reinstitute quality incentive requirements in future years and continues to monitor MCOs' performance; absent any monetary withholds. Effective October 1; 2020 (FY 2021); the District requires managed care enrollment of aged; blind; and disabled adults (age 21+) who are not dually eligible for Medicare. As a result; comprehensive managed care enrollment increased as of this date. | DC |
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Child and Adolescent Supplemental Security Income Program | Comprehensive MCO | Statewide | 1915(a) | 1/1/1996 | null | null | Voluntary | Voluntary | Voluntary | Voluntary | Voluntary | Other | null | Enrollment is voluntary; else beneficiary stays in fee-for-service. | X | X | X | X | X | X | X | X | X | X | X | X | X | X | null | X | X | X | X | X | X | X | X | X | X | X | X | Freestanding birth centers | Yes | Yes | Yes | NCQA | Qlarant | null | null | null | null | null | Health Services for Children with Special Needs | Aged; Blind; or Disabled children and adults are eligible up to the age of 26. CASSIP enrollees receive medically necessary services for physical health; behavioral health; nursing home care; intermediate care facilities for individuals with intellectual disabilities; and residential treatment services. | DC |
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Non-Emergency Medical Transportation | Non-Emergency Medical Transportation | Statewide | 1902(a)(70) NEMT | 10/1/2007 | null | null | Mandatory | Mandatory | Mandatory | Mandatory | Exempt | Mandatory | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | X | null | null | No | No | No; but accreditation considered in plan selection criteria | null | null | null | null | null | null | null | Medical Transportation Management; Inc. | The DC Department of Health Care Finance pays for non-emergency medical transportation only for its fee-for-service members. For managed care members; non-emergency medical transportation is paid by the District's Medicaid managed care organizations for low-income adults and children. Effective 10/1/2020 (FY 2021); the District requires managed care enrollment of aged; blind; and disabled adults (age 21+) who are not dually eligible for Medicare. As a result; NEMT enrollment (which is limited to fee-for-service beneficiaries) decreased. | DC |
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PACE | Program of All-inclusive Care for the Elderly (PACE) | Statewide | PACE | 2/1/2013 | null | null | Voluntary | Voluntary | Voluntary | Exempt | null | null | null | X | X | X | X | X | X | X | X | X | X | X | X | null | X | null | X | X | X | X | X | X | X | X | X | X | X | X | null | Yes | Yes | No | null | null | null | null | null | null | null | Saint Francis Life | null | DE |
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Diamond State Health Plan & Diamond State Health Plan Plus | Comprehensive MCO + MLTSS | Statewide | 1115(a) (Medicaid demonstration waivers) | 1/1/1996 | 12/31/2023 | null | Mandatory | Mandatory | Mandatory | Mandatory | Mandatory | Mandatory | Mandatory | Mandatory | Pre-assigned | Automated Health Systems | null | X | X | X | X | X | X | X | X | X | X | X | X | X | X | null | X | X | X | X | X | X | X | null | X | X | null | X | Freestanding birth centers; home-delivered meals; emergency response system; home modifications; day habilitation | Yes | Yes | Yes | NCQA; NCI-AD | Mercer Government Human Services Consulting | X | null | X | null | X | Highmark Health Options of Delaware; AmeriHealth Caritas of Delaware | null | DE |
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ModivCare Non-Emergency Medical Transportation | Non-Emergency Medical Transportation | Statewide | 1902(a)(70) NEMT | 7/1/2002 | null | null | Mandatory | Mandatory | Mandatory | Mandatory | Mandatory | Mandatory | Mandatory | Mandatory | null | ModivCare | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | X | null | null | No | No | No | null | null | null | null | null | null | null | ModivCare Non-Emergency Medical Transportation | null | DE |
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Managed Medical Assistance Program | Comprehensive MCO | Statewide | 1115(a) (Medicaid demonstration waivers) | 8/1/2014 | 6/30/2030 | null | Mandatory | Mandatory | Mandatory | Mandatory | Mandatory | Mandatory | Mandatory | Other | Automated Health Systems | Beneficiaries are enrolled immediately after being determined eligible. Beneficiaries are then given 120 days to pick another plan if they wish to do so. | X | X | X | X | X | X | X | X | X | X | X | X | X | null | null | X | X | null | null | null | null | X | null | X | X | X | X | Midwife; birth center; podiatry; and targeted case management. In addition; the Agency also negotiated expanded benefits above the Medicaid state plan service package. These expanded benefits vary by plan and include expanded outpatient hospital visits; physician home visits; and many other expanded benefits. The following link contains a listing of the expanded benefits http://ahca.myflorida.com/medicaid/statewide_mc/pdf/mma/EB_by_Plan_March_2021.pdf. | Yes | Yes | Yes | NCQA; AAAHC; Nationally recognized accrediting organizations | Health Services Advisory Group | X | null | X | null | X | Aetna Better Health; Florida Community Care; Humana Medical Plan; Molina Healthcare of Florida; Prestige Health Choice; Community Care Plan; Simply Healthcare Plans; Inc.; Staywell Health Plan of Florida; Sunshine Sate Health Plan; Inc.; United Healthcare of Florida; Inc.; Magellan Complete Care; LLC; Clear Health Alliance; Staywell Serious Mental Illness; Sunshine State Health Plan - Child Welfare; Children's Medical Services Network; Vivida Health | Individuals fully eligible for Medicare and Medicaid are required to enroll in an MMA plan for covered Medicaid services. These individuals will continue to have their choice of Medicare providers as this program will not impact individual's Medicare benefits. Medicare-Medicaid beneficiaries will be afforded the opportunity to choose an MMA plan. However; to facilitate enrollment; if the individual does not elect an MMA plan; then the individual will be assigned to an MMA plan by the state using the auto-assignment criteria. | FL |
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Long-Term Care Program | MLTSS only (PIHP and/or PAHP) | Statewide | 1915(b)/1915(c) | 8/1/2013 | 12/27/2021 | null | Mandatory | Mandatory | Mandatory | Mandatory | Mandatory | Mandatory | Mandatory | Other | Automated Health Systems | Beneficiaries are enrolled the beginning of the first month after they are determined eligible. Beneficiaries are then given 120 days to pick another plan if they wish to do so. | null | null | null | null | null | null | null | null | null | null | null | null | null | X | null | X | null | null | null | X | X | X | null | X | X | X | null | Home Health Prosthetic Devices; Intermittent and Skilled Nursing Services. In addition; the Agency also negotiated expanded benefits above the Medicaid state plan service package and 1915. These expanded benefits vary by plan and include; but are not limited to; cellular phone service; mobile personal emergency response system; over-the-counter medications and supplies; and support to transition out of a nursing facility. | Yes | Yes | Yes | NCQA; AAAHC; Nationally recognized accrediting organizations | Health Services Advisory Group | X | null | null | null | null | Aetna Better Health; Florida Community Care; Humana Medical Plan; Inc.; Molina Healthcare of Florida; Inc.; Sunshine State Health Plan; Inc.; United Healthcare of Florida; Inc.; Staywell; Simply Healthcare Plans; Inc. | A recipient must be 18 years of age or older and meet Nursing Facility level of care in order to enroll. Recipients aged 18 to 64 must be eligible for Medicaid by reason of a disability as determined by the Social Security Administration. Recipients enrolled with a plan have 120 days to change plans. | FL |
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Dental | Dental only (PAHP) | Statewide | 1115(a) (Medicaid demonstration waivers) | 12/1/2018 | 6/30/2030 | null | Mandatory | Mandatory | Mandatory | Mandatory | Mandatory | Mandatory | Mandatory | Mandatory | Other | Automated Health Systems | Beneficiaries are enrolled immediately after being determined eligible. Beneficiaries are then given 120 days to pick another plan if they wish to do so. | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | X | X | null | null | null | null | null | null | null | null | null | Yes | Yes | Yes | NCQA; Nationally recognized accrediting organizations | Health Services Advisory Group | X | null | null | X | null | DentaQuest; Liberty; MCNA Dental | Dental services are available to recipients in the Medically Needy program. Recipients are enrolled in the same plan each month that the recipient meets the share of cost requirement. | FL |
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Program of All- Inclusive Care for the Elderly | Program of All-inclusive Care for the Elderly (PACE) | Statewide | PACE | 1/1/2003 | null | null | Voluntary | Voluntary | Voluntary | Exempt | null | Automated Health Systems | Continuous while slots are available. | X | X | X | X | X | X | X | X | X | X | X | X | null | X | null | X | X | X | X | null | X | null | null | X | X | X | null | All other FL Medicaid covered services and other services as determined by the multidisciplinary team. | No | No | No | null | null | null | null | null | null | null | Florida Pace Center; Hope Select Care; Morselife Home Care; Inc.; Suncoast Neighborly Care; Inc.; NE PACE Partners | At the time of the enrollment; an individual must be able to live in a community setting without jeopardizing his or her health or safety. While enrolled in a PACE program; the participant must receive all Medicare and Medicaid benefits solely through the PACE organization. | FL |
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2021 Managed Care Programs By State
Description
Dataset.
Dataset Details
- Publisher: Centers for Medicare & Medicaid Services
- Last Modified: 2023-07-21
- Contact: Medicaid.gov ([email protected])
Source
Original data can be found at: https://healthdata.gov/d/8yvk-aiuk
Usage
You can load this dataset using:
from datasets import load_dataset
dataset = load_dataset('HHS-Official/2021-managed-care-programs-by-state')
License
This dataset is licensed under http://opendefinition.org/licenses/odc-odbl/
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