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State of California Health and Human Services Agency Department of Health Care Services COUNTY MENTAL HEALTH PLAN (MHP) ANNUAL COUNTY MONITORING ACTIVITIES (ACMA) ATTESTATION FISCAL YEAR (FY) 2022/2023
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How to fill out medicaid health plan carve-out

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How to fill out medicaid health plan carve-out

01
Contact your Medicaid health plan to see if they offer a carve-out option.
02
If they do offer carve-out, request the necessary forms or information on how to enroll.
03
Fill out the forms accurately and completely, making sure to provide all required information.
04
Submit the completed forms to your Medicaid health plan either online, in person, or by mail.
05
Wait for confirmation of enrollment in the carve-out program from your Medicaid health plan.

Who needs medicaid health plan carve-out?

01
Individuals who require specialized services that are not covered by their standard Medicaid health plan.
02
Those who want greater control over their healthcare options and providers.
03
People with chronic medical conditions that require specific treatments or resources.
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Medicaid health plan carve-out is a managed care program that allows states to 'carve out' certain populations or services from their Medicaid managed care contract and put them under a separate managed care contract.
Medicaid health plan carve-out filing requirements vary by state, but typically managed care organizations are required to file the carve-out.
To fill out medicaid health plan carve-out, managed care organizations need to follow the specific guidelines provided by the state Medicaid agency, including reporting on populations or services carved out and submitting necessary documentation.
The purpose of medicaid health plan carve-out is to ensure that certain Medicaid populations or services receive specialized care or management that may not be feasible under a broader managed care contract.
Information that must be reported on medicaid health plan carve-out includes details on the populations or services being carved out, the reasons for the carve-out, and any associated costs or outcomes.
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