Total Number of Enrollees
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The 2017 OPEN MINDS Medicaid Managed Care Update: A State-By-State Analysis, August 2017
- Transition from its fee-for-service (FFS) delivery system to statewide managed care through risk-bearing, provider-based regional care organizations (RCOs).
- The state will make payments to providers and RCOs that will assist in the transition to new payment methodologies which the state anticipates will create incentives for the efficient use of resources. The RCOs will operate in five distinct regions of the state and affected populations will be assigned to an RCO based on geographical location. All RCOs will complete financial solvency and network adequacy requirements to become fully risk-bearing in demonstrati
- Under the demonstration, expenditure authority will provide federal matching funding for specified state healthcare programs and activities to assist the state in the transition to a reformed Medicaid health care delivery system.