Accountability, Accountable Care, Medical Services and Primary Care

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Accountability

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Primary Care

Primary Care Case Management in Medicaid: A Strategy for Supporting Primary Care in Rural Areas

NASHP

AUGUST 23, 2021

Primary care case management (PCCM) programs are one of the oldest types of Medicaid managed care, but over time most states have shifted to use managed care organizations (MCOs) to deliver services to Medicaid participants. However, as of 2018, 13 states still delivered services through PCCM programs to about 5.5

Primary Care

Primary Care Medicaid Accountability Quality Improvement

Updates and FAQs: Developing and Implementing a Medicaid State Plan Amendment to Authorize Community Health Worker Reimbursement

NASHP

AUGUST 5, 2024

CHW services are reimbursed at a rate of $70/hour. Are there any examples of states that have taken an alternative payment approach rather than a fee-for-service billing approach for CHW services? Eligible primary care practices must engage CHWs starting in 2024. Kentucky (2023) 42 CFR 440.60

Medicaid

Medicaid Primary Care Prevention Accountability

Health Care Quality Digest

Primary Care Case Management in Medicaid: A Strategy for Supporting Primary Care in Rural Areas

Updates and FAQs: Developing and Implementing a Medicaid State Plan Amendment to Authorize Community Health Worker Reimbursement

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