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Prior Authorizations: 3 Ways to Reduce Administrative Burden & Burnout

HIT Consultant

The adoption of electronic prior authorization transactions could take years, so let’s look for ways to foster better communications and transparency between providers and health plans to minimize care delays. Hospitals often have to get their own approvals for medications and other medical services for the same patient.

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How State Medicaid Programs Serve Children and Youth in Foster Care

NASHP

However, CYFC with special health care needs may be enrolled into the Children’s Medical Services Managed Care Plan, which is a non-FC specific specialized MMC program. While in foster care, it is not uncommon for CYFC to move between placements. personal care items or electronics).

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

NASHP

Maine’s Primary Care Plus Initiative (PCPlus) is an alternative payment model (APM) through MaineCare, Maine’s Medicaid program, that provides a higher per-member per-month (PMPM) rate for a whole-person care approach that includes care delivery requirements such as care coordination, health and oral screenings, and care transition.