Transitioning To Alternative Payment Methodologies: Requirements For Rhode Island Medicaid MCOs

In June 2016, the Rhode Island Executive Office of Health and Human Services (EOHHS) released this document regarding requirements for Medicaid managed care organizations (MCOs) to transition to alternative payment methodologies. The purpose of this document is to set forth the contractual requirements for Rhode Island Medicaid MCOs, the terminology and operational protocol for moving to alternative payment methodologies, and reporting requirements . . .