The 2016 OPEN MINDS Medicaid Managed Care Update: A State-By-State Analysis

In understanding the impact of Medicaid and Medicaid managed care in any state, there are three key elements: the financing mechanism, the services provided, and the populations that are included. Generally, there are three financing mechanisms for the delivery of Medicaid benefits: fee-for-service (FFS), primary care case management (PCCM), and managed care. Typically services provided are broken into two categories: health care services and long-term services and supports (LTSS). And, there are three main population groups: the Medicaid-eligible population, the Medicaid-eligible population also eligible for LTSS, and the Medicare-Medicaid dual eligible population.

In this . . .