Sharing Accurate Beneficiary Data Key To Moving Medicaid Beneficiaries With Disabilities To Managed Care
States seeking to move fee-for-service (FFS) Medicaid beneficiaries with disabilities to mandatory managed care should ensure the accuracy of beneficiary and FFS provider organization data provided to Medicaid managed care organizations (MCOs). Planning for the transition should allow adequate time for provider organization outreach and for recruitment of FFS provider organizations currently serving the beneficiaries to be transitioned. Policies should be simple and clear for Medical Exemption Requests, continuity of care, and notification of disruption in the provision of durable medical equipment and pharmaceuticals; and before going live, the policies should be vetted with stakeholders to identify potential . . .
