Emerging Practices in Medicaid Primary Care Case Management Programs. Service Management


States with active care coordination components to their PCCM programs reported that providers and beneficiaries found them very helpful. Other recommendations included

  • Recognize that the referral process is key to managing services
  • Make prior authorization and other state-required procedures as hassle-free as possible for providers.
  • Employ care coordinators who are familiar with the community and available resources. Collaborate with existing services (e.g., WIC).

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