Relates to the performance standards that must be met by managed long term care plans; enables managed long term care plans operated by organizations that also operate an Institutional Special Needs Plan (ISNP) or a PACE program, but not a Medicare Dual Eligible Special Needs Plan, to continue to meet managed long term care plans performance standards.
Provides for supplemental quality improvement payments for managed long term care plans that meet certain criteria.
Medicaid Managed Care Specialty Plans
Medi-Cal and Medicare: dual eligible beneficiaries: special needs plans.
Medicaid Managed Care Plan Performance Metrics
Patient Referrals by Medicaid Managed Care Organizations and Managed Care Plans
Medi-Cal: managed care plans.
Provides relative to Dual Eligible Special Needs Plans for persons dually eligible for Medicare and Medicaid (OR GF EX See Note)
Medicaid Managed Care Specialty Plans
Medi-Cal: managed care plans.