Emerging Practices in Medicaid Primary Care Case Management Programs. Endnotes

06/01/2001

28. See Note 2 for source of all 1998 information.

29. California reported using both methods and is, therefore, counted twice in these statistics.

30. In the case of MaineNET/Partnership, the program serves only those Medicaid beneficiaries who also receive Medicare, live in the community, and require a level of care that would normally require placement in a nursing home, effectively limiting the program to serving those elderly who have the most complex needs. The complex needs of the populations enrolled also account for the higher than standard case management fee paid to PCPs for MaineNET/Partnership members.

31. Please refer to the Evolution of PCCM section for the full BBA definition.

32. Neva Kaye and Michael Bailit, Innovations in Payment Strategies to Improve Plan Performance (Portland, ME: National Academy for State Health Policy, 1999).

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