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Statewide Medicaid Managed Care (SMMC) Program Highlight: Continuity of Care Behavioral Analysis (BA) Providers The Agency for Health Care Administration (Agency) contracts with health and dental
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How to fill out statewide medicaid managed care

01
Gather required personal and financial information including proof of income, residency, and identification.
02
Visit your state's Medicaid website or contact your local Medicaid office for specific instructions and application forms.
03
Complete the Medicaid application form, ensuring that all fields are filled out accurately and completely.
04
Submit the application along with any required documentation, either online, by mail, or in person.
05
Monitor the application status by following up with the local Medicaid office or through the state’s online portal.
06
If approved, review the plan options available and select a managed care provider.
07
Enroll in the chosen managed care plan, making sure to keep records of your enrollment and any correspondence.

Who needs statewide medicaid managed care?

01
Individuals and families with low income who cannot afford healthcare costs.
02
People with disabilities who require assistance with medical services.
03
Seniors who need support for healthcare expenses and accessing services.
04
Pregnant women and infants who require prenatal and postnatal care.
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Children in low-income households who need access to necessary medical care.
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Statewide Medicaid Managed Care (SMMC) is a system where Medicaid services are delivered through managed care organizations (MCOs). These MCOs provide a range of healthcare services to Medicaid beneficiaries while managing costs and ensuring quality care.
Health care providers and entities that are part of the Medicaid Managed Care program must file statewide Medicaid managed care applications and reports. This typically includes Managed Care Organizations (MCOs) and any providers participating in the program.
To fill out the statewide Medicaid managed care application, providers need to gather necessary documentation, follow the guidelines provided by the state Medicaid agency, complete the required forms, and submit them either online or via mail as specified in the application instructions.
The purpose of statewide Medicaid managed care is to improve access to quality healthcare services, control Medicaid spending, and enhance the coordination of services for beneficiaries to achieve better health outcomes.
Providers must report data related to service utilization, financial performance, quality of care metrics, client demographics, and compliance with state regulations in their statewide Medicaid managed care filings.
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