Care coordination and provider network adequacy are essential components of the delivery of safe, high quality managed long-term services and supports (LTSS). Through interviews with Medicaid officials in five states—Arizona, Minnesota, Tennessee, Texas, and Wisconsin—we identified themes related to how these states ensure that managed care organizations are ready to provide these two components of managed LTSS before they begin enrolling vulnerable consumers….
Ready, Set, Go! The Readiness Review Process for Care Coordination and Provider Network Adequacy in Five States
Care coordination and provider network adequacy are essential components of the delivery of safe, high quality managed long-term services and supports (LTSS). Through interviews with Medicaid officials in five states—Arizona, Minnesota, Tennessee, Texas, and Wisconsin—we identified themes related to how these states ensure that managed care organizations are ready to provide these two components of managed LTSS before they begin enrolling vulnerable consumers….