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작성자 Joseph
작성일 24-09-24 13:29 | 4 | 0

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Ohio included feedback from 17 Group listening classes and two public requests for info when producing its procurement vision for Medicaid managed care. 

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One of many knowledge components needed to estimate MLR is non-claims Price tag knowledge.  Non-claims costs will be the MCO’s administrative charges and should include things like expenditures affiliated with supplier contracting, utilization administration, statements processing and earnings.  

Medicaid MCO contracts are a number of the largest and most complicated contracts held by the state and will account for billions of pounds in prices and multi-calendar year condition commitments. Although federal policies outline the minimal provisions that needs to be A part of the contract amongst the state and MCO, no minimum amount requirements exist for your procurement process.

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States can tailor procurement requirements and contract conditions to reflect condition policy priorities and innovations while in the Medicaid software. Some states, like Arizona, also emphasize transparency within the procurement and contracting process by building information about open up and shut procurements and MCO deal amendments publicly obtainable about the condition Web site. 

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