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An Advocate's Primer on Medicaid Managed Care Contracting

By Jane Perkins & Kristi Olson

As states require Medicaid recipients to enroll in risk-based managed care programs, understanding the contents of Medicaid managed care contracts and the contracting process is helpful. This article not only offers strategies on how to use the contract to represent individual clients and to improve consumer protections but also suggests model contract provisions and a checklist for monitoring contracts.

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