Managed Care Organization (“MCO”) Application For Medicaid Managed Care Plan Contract, 2012-2014
June 1, 2012
Managed Care Organization ("MCO") Application For Medicaid Managed Care Plan Contract, 2012-2014
In June 2012, the New Jersey Department of Human Services, Division of Medical Assistance and Health Services released an application for managed care organizations (MCOs) interested in applying to provide Medicaid managed care services to New Jersey Medicaid beneficiaries. The application defines the services area; provides background, information on the application process; gives fiscal requirements; addresses program integrity management, managed care management information systems (MCMIS), third party liability (TPL) identification and recovery, and essential policies, plans, procedures, and related MCO documentation.
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