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Texas Health and Human Services Commission Electronic Visit Verification Rights and Responsibilities (Managed Care Organization MCO) Texas requires attendants who deliver certain Medicaid services
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Who needs managed care organization?

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Managed care organization (MCO) is typically needed by individuals who:
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- Are eligible for government-sponsored healthcare programs that utilize MCOs, such as Medicaid or Medicare Advantage
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A managed care organization is a health care provider or network that manages patient care and costs through a variety of measures such as network coordination, utilization management, and quality improvement programs.
Managed care organizations are typically required to file with government regulatory agencies and insurance providers to demonstrate compliance with regulations and to report on key metrics related to patient care and cost management.
Managed care organizations typically fill out required forms and reports provided by regulatory agencies and insurance providers, and submit them by the specified deadlines.
The purpose of a managed care organization is to effectively manage patient care and costs by coordinating services, ensuring quality, and promoting preventive care measures.
Information that must be reported on a managed care organization typically includes data on patient outcomes, cost management strategies, network coordination efforts, and quality improvement initiatives.
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