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Primary Care Case Management (PCCM) is a system of managed care in the US used by state Medicaid agencies, in which a primary care provider is responsible for approving and monitoring the care of enrolled Medicaid beneficiaries, typically for a small monthly case management fee in addition to fee-for-service reimbursement for treatment. [1]
As of 2014, 26 states have contracts with MCOs to deliver long-term care for the elderly and individuals with disabilities. [2] There are two main forms of Medicaid managed care, "risk-based MCOs" and "primary care case management (PCCM)." [3] Managed care delivery systems grew rapidly in the Medicaid program during the 1990s.
The Administration on Aging (AoA) is an agency within the Administration for Community Living of the United States Department of Health and Human Services.AoA works to ensure that older Americans can stay independent in their communities, mostly by awarding grants to States, Native American tribal organizations, and local communities to support programs authorized by Congress in the Older ...
Section 1115 Research & Demonstration Projects: States can apply for program flexibility to test new or existing approaches to financing and delivering Medicaid and CHIP. Section 1915(b) Managed Care Waivers: States can apply for waivers to provide services through managed care delivery systems or otherwise limit people's choice of providers.
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Amerigroup is an American health insurance and managed health care provider. Amerigroup covers 7.7 million seniors, people with disabilities, low-income families and other state and federally sponsored beneficiaries, and federal employees in 26 states, making it the nation's largest provider of health care for public programs. [1]
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George M. Rapier III is an American businessman, and chairman and CEO of WellMed Medical Management, Inc., a diversified healthcare company and Physicians Health Choice, a physician-owned Medicare Advantage Organization contracted with the Centers for Medicare and Medicaid Services (CMS). WellMed is headquartered in San Antonio, Texas.