Managed Care Rules, Regulations, Manuals and Key Resources
Key Resources Links
Regulatory Requirements and Resources
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Medicare Advantage Penetration Information by County and State
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Center for Medicare and Medicaid Innovation
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Find CMMI Models in Your State
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Medicare Accountable Care Organizations
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Bundled Payment for Care Improvement Advanced
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Comprehensive Care for Joint Replacement Bundled Payment
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Integrated Care Resource Center
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Center for Health Strategies
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ACO REACH
Key Federal Explanations and Regulations on Medicare Advantage
Medicare Advantage Plan Information
Federal Medicaid Managed Care Resources
- US Government Medicaid Managed Care Information
- Overview of Medicaid Managed Care
- Reference Guide to Federal Medicaid Statutes and Regulations
- Federal Regulations on Managed Care – Title 42, Part 428 of the Federal Code of Regulations
- State Managed Care Profiles and Data Collections
- Managed Care Organization HIE Policy
State Medicaid Managed Care Resources
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Arizona: https://www.azahcccs.gov
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Arkansas: https://medicaid.mmis.arkansas.gov
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Connecticut: https://www.ct.gov/oha/cwp/view.asp?a=4363&q=520616
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Georgia: https://dch.georgia.gov/medicaid
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Kansas: https://www.kancare.ks.gov
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Louisiana: http://ldh.la.gov/index.cfm/page/220
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Massachusetts: https://www.mass.gov/topics/masshealth
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Minnesota:
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Mississippi: https://medicaid.ms.gov/programs/managed-care/
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Missouri: https://dss.mo.gov/mhd/mc/
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New Hampshire: https://www.dhhs.nh.gov/ombp/caremgt/index.htm
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Oklahoma (N/A): http://www.okhca.org/individuals.aspx?id=94&menu=42
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Pennsylvania: http://www.healthchoices.pa.gov/info/about/
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South Dakota: https://dss.sd.gov/medicaid/providers/programinfo/mcare/
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Virginia: http://www.dmas.virginia.gov/#/index