Emerging Practices in Medicaid Primary Care Case Management Programs. Overall Advice


The most frequent advice given by case-study states is to use the principles and tools of MCOs, such as prior authorization, performance standards, benchmarks, and quality strategies. This was asserted by the majority of case-study states. Other advice includes

  • Know what the desired accomplishments are, from day one; have specific goals and steps for reaching them; and communicate these goals and steps to key players (including providers).
  • To work well, the program must be both provider- and beneficiary-focused.
  • Evolve slowly: start small and learn from pilot sites before expanding.
  • Keep building a base of political support for the program.

View full report


"report.pdf" (pdf, 314.91Kb)

Note: Documents in PDF format require the Adobe Acrobat Reader®. If you experience problems with PDF documents, please download the latest version of the Reader®