Southern Health Care Net Medicaid



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Southern Health Care Net Medicaid

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DMAS – Virginia Medicaid Fee-for-Service (FFS), Managed Care

www.dmas.virginia.gov

Apr 1, 2016 All ages and all levels of service. Anthem CCC. (855) 253-6861. All ages and all
levels of service. Aetna Better Health of Virginia (previously. CoventryCares of
Virginia and Southern Health. Services / CareNet). (800) 734-0430. All ages
ambulatory and wheelchair. (800) 235-2206. Option 2 then Option 2.

Managed Care in Virginia – Medicaid

www.medicaid.gov

This profile reflects state managed care program information as of August 2014,
and only includes information on active federal operating …. Southern Health.
CareNet. 3. Anthem. HealthKeepers. Plus. 4. Optima Family. Care. 5. Virginia
Premier. Health Plan. 6. MajestaCare. 1. LogistiCare. Solutions. 1. Sentara
Senior.

2012 Medicaid Managed Care Enrollment Report – Medicaid.gov

www.medicaid.gov

Jul 1, 2012 Medicaid Managed Care Program Summary. Managed. Care Entity.
Reimbursement. Arrangement. Operating. Authority. Geographic Area Served.
Number of. Enrollees. AL. Maternity Care Program. Medical-only. PAHP. Non-risk
Capitation. 1915(b). Statewide. 21,040. AL. Mercy Life of Alabama (MLOA).

Medicaid Managed Care Enrollment Report

www.medicaid.gov

42,384,539. 74.22%. The unduplicated Medicaid enrollment figures include
individuals in State health care reform programs that expand …… FL. WellCare of
Florida, Inc. d/b/a Staywell Health Plan of Florida. Commercial MCO. 4,494. FL.
World Net, Inc. Long Term Care PIHP. 3. FL. YourCare Brevard. Long Term Care
PIHP.

National Summary of State Medicaid Managed Care … – Medicaid.gov

www.medicaid.gov

Jun 30, 2016 NATIONAL SUMMARY of. STATE MEDICAID MANAGED. CARE PROGRAMS.
PROGRAM DESCRIPTIONS. AS OF JULY 1, 2012 … Programs Group (CAHPG),
and Disabled and Elderly Health Program Group (DEHPG) and. CMS Regional
Offices. Please contact Loan …. Page 155. Arkansas Safety Net.

Managed Care in California – Medicaid

www.medicaid.gov

County Organized Health Systems (COHS), first of the currently operating
managed care programs, began in 1983; currently six county plans provide
services to Medi-Cal beneficiaries in 22 counties. (In 1993, the state expanded
managed care by introducing the Two-Plan model, which offers beneficiaries a
choice of a …

Managed Care in New York – Medicaid.gov

www.medicaid.gov

primary, specialty, limited long term care and limited behavioral health through
managed care organizations (MCO) and primary care case management (PCCM
) …. to significantly improve care, change how public and safety net providers are
organized, and reform how Medicaid pays for health services. This amendment to
 …

Facesheet: 1. Request Information (1 of 2) Facesheet … – Medicaid.gov

www.medicaid.gov

Jul 1, 2017 Although DMAS experienced the exodus of health plans from certain localities
during the Medallion II program, the following MCO partners remained viable
during this period: Anthem Healthkeepers Plus/Wellpoint; Optima Family Care;.
Southern Health/CareNet (which underwent a name change to …

Managed Care in North Carolina – Medicaid

www.medicaid.gov

North Carolina operated a small risk-based, capitated managed care program
called Health Care Connection, which began in 1986 in one county, but that
program was terminated in 2006. The state currently operates managed care
only through a primary care case management (PCCM) model. The state's PCCM
program, …

Blueprint for Health Innovation – State of Michigan

www.michigan.gov

Jan 24, 2014 payers, hospital/health systems, government, business, safety net, and academic
experts. With their ….. Reinventing Michigan's health care system is one of
Governor Rick Snyder's top priorities. This vision … The State Innovation Model
initiative, funded by the Center for Medicare and Medicaid Innovation,.

2016 National Healthcare Quality and Disparities Report – AHRQ

www.ahrq.gov

The National Healthcare Quality and Disparities Report (QDR) is the product of
collaboration among agencies from the U.S. ….. Medicare & Medicaid Services,
Health Resources and Services Administration, Indian Health Service, and
National …. administration and the net cost of insurance, and public health
activities.

Illinois Insurance Facts Illinois Department Insurance – the Illinois …

insurance.illinois.gov

Illinois Insurance Facts. Contact The Proper Agency – Where to File Medicare,.
Medicaid and Other Health Plan Complaints. Revised. July 2015. Illinois
Department Insurance. The Department of Insurance handles thousands of
health insurance and HMO inquiries and complaints every year. However, not all
health plans …

Catalog of Behavioral and Physical Health Integration … – macpac

www.macpac.gov

Catalog of Medicaid Initiatives Focusing on Integrating Behavioral and Physical.
Health Care: Final Report. Prepared for: Medicaid and CHIP Payment and
Access Commission (MACPAC). Prepared by: State Health Access Data
Assistance Center (SHADAC). School of Public Health, University of Minnesota.
This report was …

State Medicaid Reforms Aimed at Changing Care Delivery at – macpac

www.macpac.gov

understand specifics of different state approaches to Medicaid payment and
delivery system reform. (e.g., shared …. each state's unique health care business
environment, Medicaid program history, and culture have been in ….. from 2014 (
Southern Prairie Community Care) has incorporated additional behavioral health
.

Report on Activities and Operations October 1, 2015 – Nevada …

www.nevadacomparecare.net

Oct 1, 2015 (All hospitals). NEVADA MEDICAID SUPPLEMENTAL PAYMENTS ….. The Total
Net Loss for all Clark County Acute Care Hospitals was $28,296,369. St. Rose
Dominican Hospitals Siena. Campus had the highest Net Income of $40,812,344
and University Medical Center of Southern. Nevada had the …

Louisiana Rural Health Plan 2011-2015 – Louisiana Department of …

www.dhh.louisiana.gov

health and health care issues are representative of the needs and the desires of
the residents of Louisiana, the state and its citizenry are ….. Medicaid and
insurance billing technical assistance is also offered, as well as training on
medical coding to promote better financial performance, enhanced quality of care
and better …

Integrated Care for People with Medicare and Medicaid – NCQA

www.sandiegocounty.gov

which seniors receive medical treatment and human services that are integrated
in the setting most appropriate to their needs. For … Medicare and Medicaid has
the potential to improve outcomes and to lower healthcare spending. The
overarching goals of the ….. and personal supports, and about safety net
providers and …

Assessing Health and Health Care in Prince George's County

www.princegeorgescountymd.gov

Prince George's lacks a primary care safety net. The County's capacity to provide
safety-net care, beyond hospital and emergency care, is limited. Relatively few
primary care physicians practice in poorer areas of the County. Moreover, the
County has only one federally qualified health center—Greater Baden Medical …