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

06/01/2001

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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