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CMS Policy Letter on Disease Management for Medicaid Programs

February 25, 2004 CMS Policy Letter on Disease Management for Medicaid Programs This letter from Dennis G. Smith, Director, Center for Medicaid Services, Department of Health and Human Services to State Medicaid Directors provides guidance on how states can cover disease management in their Medicaid programs. This letter outlines some of the more common options. Traditionally, disease management was part of the comprehensive care furnished by MCOs. Today, we are seeing a multitude of strategies in order to bring disease management to fee-for-service (FFS) populations. States are building comprehensive systems in-house or contracting out the function to . . .

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