Waivers Out For Medicaid Managed Care


Once upon a time (and not so very long ago), state Medicaid directors had to apply to the Health Care Financing Administration for waivers before moving their beneficiaries into managed care. Now, instead of the waivers requirement, states will submit their managed care contracts to HCFA for review.

While this may seem to be only a cosmetic change, most Medicaid directors are reacting favorably. Contract review should be much easier than the cumbersome, time-consuming waiver process. HCFA still will enforce beneficiary protections, quality assurance standards and payment methods. It will expedite the process by reviewing draft or model managed care contracts and giving states an interim go-ahead to enroll beneficiaries and to conclude pacts with managed care organizations. Once a final contract is inked, a state can provide Medicaid managed care services.

Career Opportunities

HAP, a subsidiary of Henry Ford Health System, is a nonprofit health plan providing coverage to individuals, companies and organizations. This executive develops strategies to meet membership and revenue targets through products, pricing, market segmentation and advertising.  Aligns business among Business Development, Commercial Sales, Medicare and Public Sector Programs and Product Development. Seeks to enhance and be responsible for business development and expansion through the development of an effective product portfolio, strong interpersonal relationships and service excellence.

Apply via email to jfedder1@hfhs.org or online at http://p.rfer.us/HENRYFORDlXqAJA

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