Authorization Number : 50750065
Agency Series No. : 404-66-08
Status : Active
Agency Web Link :
Agency : ODM
Confidential Description :
Division : ODMMACA
Vital Description :
Section : ODMMACA
Record Title : Managed Care Plan & Enhanced Care Management
Revision : 1
Record Description : Record contains specific files related to each Managed Care plan (MCP) and the monitoring of services provided to Medicaid recipients as part of the plan. may include MCP program operating and reimbursement documents, Request For Proposals(RFP), listings of providers involved in the MCP; enrollment eligibility information; rate setting documents; wavier request; quality assurance audit reviews; financial reports; capitation reports; historical data; grievance information (SACMS evaluations), encounter data and Just Cause requests from recipients to change MCPs.