The Centers for Medicare and Medicaid Services (CMS) published a set of quality metrics for home and community-based services (HCBS) to assess patient health outcomes. According to CMS, the ratings will provide insight into HCBS programs and will enable states to determine the success of long-term services and support programs offered...Arizona News
The Navajo Nation announced plans to create a "one-of-a-kind" managed care organization (MCO) under New Mexico's Medicaid program with Molina Healthcare. The tribe, spanning portions of northern Arizona, southern Utah and northern New Mexico, would be the first to launch a managed healthcare entity.
According to a September white...Arizona News
Originally created to ensure Medicaid beneficiaries with a serious mental illness (SMI) weren't warehoused in facilities by the government, the IMD exclusion means state Medicaid agencies can't pay for mental healthcare services received in a residential treatment center with more than 16 beds.
This week, (November 13) Medicaid...Arizona News
An Alternative Payment Model (APM) is one way of delivering value-based care, as the shift from traditional fee-for-service to a value-based payment model continues, programs are continuously looking to serve as a catalyst in offering cost-effective, higher-quality care. APMs incentivize this goal and can apply to an episode, condition,...