Star Health Managed Care Contract
Listing Websites about Star Health Managed Care Contract
Managed Care Contract Management - Texas Health and Human …
(8 days ago) WEBSTAR Kids Managed Care Contract (PDF) CHIP Rural Service Area Contract (PDF) Medicare-Medicaid Dual Demonstration (MMDD) Contract (PDF) STAR+PLUS Expansion Contract (PDF) Uniform Managed Care Contract (PDF) STAR Health. Full STAR Health Contract Operational 09/01/2023 (PDF) [Amended STAR …
https://www.hhs.texas.gov/services/health/medicaid-chip/managed-care-contract-management
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Texas Medicaid managed care procurement updates: STAR Health …
(7 days ago) WEBTexas’s STAR Health managed care program, which provides coverage to homeless youth and young adults, is currently contracted to Centene/Superior. Following this month’s release of the draft RFP for the new contract, HHSC plans to release the official RFP on Oct. 25 and award a contract in June 2022.
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STAR Health Managed Care Provider Finance Department - Texas
(2 days ago) WEBSTAR Health Managed Care STAR Health Managed Care. Rate Setting Actuarial Analysis. Revised rates for FY2024 (.pdf) (MCO contracts effective 03/01/2024) –These rates are pending CMS
https://pfd.hhs.texas.gov/managed-care-services/star-health-managed-care
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Texas Releases STAR Health Draft RFP; Seeks Public Input on …
(Just Now) WEBCVS/Aetna Better Health was most recently awarded a Texas STAR Kids Medicaid managed care contract on May 8, 2020, in the seven-county Dallas service area. The procurement followed the exit of Children’s Medical Center, which served approximately 9,000 STAR Kids members.
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Texas Releases STAR+PLUS RFP - Health Management Associates
(6 days ago) WEBThe STAR+PLUS program operates under a Section 1115 waiver and a Section 1915 waiver to expand the Medicaid managed care delivery system statewide and provide HCBS under a Medicaid managed care model. The state threw out the previous awards for STAR+PLUS contracts in 2020 because of discrepancies in the evaluation …
https://www.healthmanagement.com/blog/texas-releases-starplus-rfp/
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Texas Managed Care Program Features, as of 2021(1 of 2)
(5 days ago) WEBEnrollment in the STAR Health Program Foster Care and Adoption Assistance is voluntary for the following population choose between STAR Kids and STAR categories: 1) Children and young Health adults in DFPS conservatorship; 2) Emancipated minors or members age 18-22 who voluntarily agree to continue in foster placement; 3) Young adults age 18-21
https://www.medicaid.gov/medicaid/managed-care/downloads/tx-2021-mmcdcs.pdf
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TX Awards STAR+PLUS Medicaid Managed Care Contracts to 7 Plans
(3 days ago) WEBThe Texas Health and Human Services Commission (HHSC) announced on January 27, 2023, its intent to award contracts for its STAR+PLUS Medicaid managed care program, which serves aged, blind, and disabled populations, to incumbents United Healthcare Community Plan of Texas, Molina Healthcare of Texas, Centene/Superior HealthPlan, …
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Texas Medicaid Announces Intent To Award STAR+PLUS MCO …
(3 days ago) WEBOn January 27, 2023, the Texas Health and Human Services Commission (HHSC) announced its intent to award contracts to seven managed care organizations (MCOs) for the state’s STAR+PLUS Medicaid managed care program. Four are incumbents and three are new plans. Operations are slated to begin on September 1, 2023, and will run for six …
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Navigating toward successful contract negotiations with health plans
(4 days ago) WEBNavigating toward successful contract negotiations with health plans. Strong managed care contracts are more critical than ever for health systems. As financial struggles lead hospitals across the country to close their doors or eliminate services, negotiating fair rate increases with payers is increasingly essential. [1] [2]
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Managed Care Contracts - communitycaretx.org
(1 days ago) WEBManaged Care Contracts Medicaid Plan Type(s) Behavioral Health Amerigroup Texas Medicaid, CHIP, STAR STAR+PLUS Amerigroup Elect Choice, Managed Care POS, Aetna Choice POS II, Aetna Select, Open Choice PPO, National Advantage, Worker’s Compensation, Aetna Premier Care Superior Star Health (Foster Care), Superior …
https://communitycaretx.org/wp-content/uploads/2023/05/Managed-Care-Contracts.pdf
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STATE OF TEXAS MEDICAID MANAGED CARE STAR …
(3 days ago) WEBTexas Health and Human Services Commission . Uniform Managed Care Contract 529-12-0002 V2.36 Dustin J. Kim, F.S.A., M.A.A.A. Rudd and Wisdom, Inc. July 8, 2022. STATE OF TEXAS . MEDICAID MANAGED CARE . STAR PROGRAM RATE SETTING . STATE FISCAL YEAR 2023 operates statewide with services delivered through …
https://pfd.hhs.texas.gov/sites/rad/files/documents/managed-care/2023/2023-ffy-star-rates.pdf
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STAR Health Insurance for Foster Care - Superior HealthPlan
(6 days ago) WEBThis means that Superior will help with health care and behavioral and social needs. For more information on the STAR Health program and to learn more about the services, please call Superior HealthPlan’s Member Services at 1-866-912-6283 or visit the STAR Health website. You can also find more information in the STAR Health handbook.
https://www.superiorhealthplan.com/members/medicaid/benefits-services/star-health.html
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State’s premature release of bid documents touches off new battle …
(5 days ago) WEBSome 1.8 million Texans who receive Medicaid coverage from six managed care organizations – the health insurance providers that actually issue the coverage – across the state would lose their
https://www.texastribune.org/2024/04/26/texas-medicaid-contracts/
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Horizon NJ Health QUICK REFERENCE GUIDE
(7 days ago) WEBFor questions, check application status or verify acceptance of new providers, call: • PCPs or Specialists: 1-800-682-9094 x52380• MLTSS providers: 1-800-682-9094 x52670. Dental Applications. Please send information to: Horizon NJ Health1-855-812-9211 Phone: Attn: Credentialing Fax: 1-866-396-5686 PO BOX [email protected]
https://www.horizonnjhealth.com/sites/default/files/Quick_Reference_Guide.pdf
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What You Need to Know About Medicaid Managed Care, Amid …
(Just Now) WEBKFF Headquarters: 185 Berry St., Suite 2000, San Francisco, CA 94107 Phone 650-854-9400 Washington Offices and Barbara Jordan Conference Center: 1330 G Street, NW, Washington, DC 20005 Phone
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Director of Managed Care Contracting Jobs, Employment in
(5 days ago) WEBDevelops managed care contract proposals for health system entities. Experience in the negotiation and management of managed care contracts. Knowledge of state and regulatory HMO guidelines. Demonstrated proficiency in the use of a personal computer (windows environment) including but not limited to Word, Excel, Power Point, and …
https://www.indeed.com/q-director-of-managed-care-contracting-l-noroton,-ct-jobs.html
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Credentialing Process Overview - Horizon BCBSNJ
(5 days ago) WEBComplete and sign this Agreement for participation in the Horizon Managed Care Network which allows you to treat members enrolled in Horizon BCBSNJ managed care plans (e.g., OMNIA, Horizon HMO, Horizon Direct Access, Horizon Medicare Advantage) at an in-network level of benefits.
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STAR Kids Contract - Texas Health and Human Services
(7 days ago) WEBcomply with new CMS managed Care Rules. See CFR 438.3(d) and (f). Section 9.02 (b) is modified to add item 4 Inspection and subsequent items are renumbered. Revision 1.4 June 1, 2017 Contract amendment did not revise Attachment A, “STAR Kids Managed Care Contract Terms and Conditions.” Revision 1.5 September 1, 2017
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managed care contract jobs in Pompton Plains, NJ - Indeed
(7 days ago) WEB58 Managed Care Contract jobs available in Pompton Plains, NJ on Indeed.com. Apply to Vice President, Director of Strategy, Director of Care and more!
https://www.indeed.com/q-managed-care-contract-l-pompton-plains,-nj-jobs.html
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