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June 08, 2016

CMS Rule for Medicaid and CHIP Managed Care: The Effects of the Rule on Long-Term Care

Recently, the Centers for Medicare & Medicaid Services (CMS) released a final rule (the Rule) affecting state Medicaid programs that use managed care organizations (MCOs) to deliver services to their beneficiaries. We held a webinar on Thursday, May 26 on the effects of the rule on long-term care. If you would like to view the webinar in its entirety or see the slides, click here.

May 23, 2016

CMS Medicaid Managed Care Final Rule Q&A from MAXIMUS Webinar

Recently, the Centers for Medicare & Medicaid Services (CMS) released a final rule (the Rule) affecting state Medicaid programs that use managed care organizations (MCOs) to deliver services to their beneficiaries. We held a webinar on Tuesday, May 3 summarizing the Rule and what it means for states. If you would like to view the webinar in its entirety or see the slides, click here.

June 19, 2015

Tips for Evolving Medicaid Pharmacy Benefits Management Programs

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A few weeks ago, we ran the Tips for Enhancing Your Medicaid Pharmacy Benefits Management (PBM) Programs webinar. PBM program roles have been changing extensively over the last few years, with many states moving their Medicaid enrollees from fee-for-service programs into managed care programs. Nearly 75 percent of the Medicaid population now receive their medical services and prescription drug benefits through a Managed Care Organization (MCO).

February 20, 2014

Few States Show Interest in Establishing Own Exchange, But Medicaid Expansion Is Gaining Momentum

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Most states that are on the federally facilitated marketplace (FFM) are not showing great movement towards establishing their own exchanges under the Affordable Care Act (ACA), but the growing Medicaid rolls are changing many state's perspective on whether to expand their programs.

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