Managed Care | Medicaid
Managed Care is a health care delivery system organized to manage cost, utilization, and quality. Medicaid managed care provides for the delivery of Medicaid health benefits and additional services …
Drug Utilization Review Annual Report | Medicaid
May 29, 2025 · On an annual basis, states are required to report on their practitioners prescribing habits, cost savings generated from their Drug Utilization Review (DUR) programs and their program’s …
Overview of Current Managed Care Programs As of July 2011, over 80 percent of all Medicaid beneficiaries were enrolled in some form of managed care. Pennsylvania began experimenting with …
Medicaid and CHIP Managed Care Reporting
CMS has also created a web-based reporting portal for these reports, thereby creating a single submission process and repository for all state reporting requirements related to managed care. The …
Managed Care in Arizona This profile reflects state managed care program information as of August 2014, and only includes information on active federal operating authorities, and as such, the program …
In 2011, the state further expanded managed care through its Healthy Connections Choices program when it began enrolling additional Medicaid beneficiaries formerly served in the FFS system in either …
Introduction The Centers for Medicare & Medicaid Services (CMS) is releasing the 2025-2026 Medicaid Managed Care Rate Development Guide for use in setting rates for rating periods starting between …
Managed Care in Washington This profile reflects state managed care program information as of August 2014, and only includes information on active federal operating authorities, and as such, the program …
Nov 14, 2025 · The transition period policy discussed in this letter represents the minimum transition period (in the case of MCO taxes that exploit the loophole) that states will have to bring non …
Jul 1, 2011 · Managed Care in Puerto Rico This profile reflects state managed care program information as of August 2021, and only includes information on active federal operating authorities, and as …