May 26 AIS Webinar to Offer Expert Analysis of Changes Coming to Medicaid Managed Care Program
Atlantic
In 60 minutes of presentations followed by 30 minutes of responses to individual questions,
• How will CMS decide whether at least 85% of a Medicaid MCO's revenue goes to furnishing medical services?
• How will states go about their new assigned responsibility of offsetting any MLR shortfalls by
• In what ways did CMS change the proposed rule's fraud-determination provisions? Why?
• What can Medicaid MCOs expect from the new quality ratings, and when? How should they prepare?
• How will states use the new responsibilities given to them to establish time and distance requirements for provider-network adequacy?
• Why did CMS back off its proposal regarding enforcement to ensure payments to Medicaid MCOs are actuarially sound? How might this issue be approached in the future?
• What does the new rule require on access by Medicaid MCO beneficiaries to behavioral care and long-term care? How will this impact the insurers?
• Why did CMS drop the proposed requirement that Medicaid MCOs give enrollees at least 14 days of fee-for-service coverage before they start managed care? Will this concept come back in another form?
• What steps should Medicaid MCOs and their partners take now to begin preparing for the many new requirements ahead?
Visit https://aishealth.com/marketplace/c6a14_052616 for more details and registration information.
About AIS
Atlantic
Read the full story at http://www.prweb.com/releases/2016/05/prweb13409632.htm



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