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MMC Managed Care Plan Report Guide Suspected/Confirmed Waste Reporting Summary 121/1821/20202021 BENEFIT TYPE(S): The Managed Care Plan providing the following benefit type(s) must submit this report:
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The SMMC Managed Care Plan is a health care program designed to provide cost-effective medical services through a managed care approach, ensuring coordinated and comprehensive care for beneficiaries.
Providers and organizations that participate in the SMMC program and deliver health care services to eligible individuals are required to file the SMMC managed care plan.
To fill out the SMMC managed care plan, providers must complete specific forms provided by the governing authority, including information about services offered, care coordination strategies, and compliance with regulatory requirements.
The purpose of the SMMC managed care plan is to improve the quality of care for beneficiaries, reduce healthcare costs, and ensure that patients receive appropriate and timely medical services.
The SMMC managed care plan must report information including service delivery models, care coordination efforts, health outcomes, utilization data, and compliance with state and federal regulations.
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