Star Health Managed Care Contract

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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) …

https://www.hhs.texas.gov/services/health/medicaid-chip/managed-care-contract-management

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STAR Health RFP HHS 0010427

(2 days ago) WEBfor. STAR Health Managed Care Services. RFP No. HHS0010427. Date of Release: October 25, 2021. Responses Due: December 28, 2021 by 10:30 a.m. Central Time. …

https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/contracting/star-health-rfp-hhs0010427.pdf

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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. …

https://stateofreform.com/news/2021/09/texas-medicaid-managed-care-procurement-updates-star-health-draft-rfp-star-kids-aco-rfi/

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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 …

https://pfd.hhs.texas.gov/managed-care-services/star-health-managed-care

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ESBD Details - txsmartbuy.com

(4 days ago) WEBProcurement of STAR Health Managed Care Services for children and young adults who are in the State of Texas’ foster care system. Addendum: Addendum #1 posted …

https://www.txsmartbuy.com/esbddetails/view/HHS0010427

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Proposed Medicaid changes could shake up coverage for 1.8 …

(4 days ago) WEBThe change would mean a reduction in the number of managed care organizations that administer the state’s Medicaid STAR and Children’s Health …

https://www.texastribune.org/2024/04/18/texas-medicaid-provider-contracts/

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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) …

https://www.medicaid.gov/medicaid/managed-care/downloads/tx-2021-mmcdcs.pdf

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Proposed changes to state Medicaid plans could shake up health …

(5 days ago) WEBTheir members compose the vast majority of more than 4 million Texans on state Medicaid programs. HHS contracts with managed care organizations, or MCOs, …

https://abc13.com/medicaid-coverage-plan-texas-children-health-care-changes/14697085/

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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 …

https://hmais.healthmanagement.com/texas/tx-awards-starplus-medicaid-managed-care-contracts-to-7-plans/

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Procurement Opportunities Texas Health and Human Services

(6 days ago) WEBThe following select opportunities are for high-profile pending procurements with the Texas Health and Human Services Commission. Medicaid Managed Care Procurement …

https://www.hhs.texas.gov/business/contracting-hhs/procurement-opportunities

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Texas Rebids Medicaid Managed Care Program For Foster Care …

(7 days ago) WEBOn October 4, 2021, the Texas Health and Human Services Commission (HHSC) released a request for proposals (RFP HHS0010427) for the procurement of Texas STAR Health, …

https://openminds.com/market-intelligence/news/texas-rebids-medicaid-managed-care-star-health-program-for-youth-in-foster-care/

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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, …

https://communitycaretx.org/wp-content/uploads/2023/05/Managed-Care-Contracts.pdf

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Managed Care Organization Reimbursements to Pharmacy …

(5 days ago) WEBThe managed care contracts relevant to this audit include the Uniform Managed Care Contract, the State of Texas Access Reform (STAR) Kids Contract, the …

https://oig.hhs.texas.gov/sites/default/files/documents/reports/pbm-summary-superior-final-v2-5-28-21.pdf

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What is a Managed Care Contract? Healthcare Administrator's Guide

(5 days ago) WEBInsurance companies use managed care contracts to create defined networks of providers that offer services at negotiated rates. Employers use managed …

https://www.contractsafe.com/blog/managed-care-contract

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FREQUENTLY ASKED QUESTIONS (FAQs) Medicare Advantage …

(7 days ago) WEBThere are four D-SNP plans under contract with the State of New Jersey. The D-SNPs are operated by the same four Medicaid managed care organizations that serve you now. …

https://www.nj.gov/humanservices/dmahs/home/D-SNP_FAQ.pdf

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State announces intent to ink multi-billion dollar contracts with …

(3 days ago) WEBThe contracts are massive in scope since the managed care companies that are picked will get six-year contracts to administer a health care program that …

https://floridapolitics.com/archives/669369-state-announces-intent-to-ink-contracts-with-five-managed-care-plans/

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STAR Medicaid Managed Care Program - Texas Health and …

(2 days ago) WEBBenefits under STAR. Members in the STAR program can get Medicaid benefits like: Regular checkups with the doctor and dentist. Prescription drugs and vaccines. Hospital …

https://www.hhs.texas.gov/services/health/medicaid-chip/medicaid-chip-members/star-medicaid-managed-care-program

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Horizon Blue Cross Blue Shield of New Jersey 2018 Managed …

(5 days ago) WEBHorizon Blue Cross Blue Shield of New Jersey 2018 Managed Care Benefits-at-a-Glance1. If you have questions about enrollment, benefits or claims, visit NaviNet.net or …

https://www.horizonblue.com/sites/default/files/2018-01/Benefit_Grid_MC.pdf

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Horizon Blue Cross Blue Shield of New Jersey 2017 Managed …

(4 days ago) WEBHorizon Blue Cross Blue Shield of New Jersey 2017 Managed Care Benefits-at-a-Glance1. If you have questions about enrollment, benefits or claims, visit NaviNet.net or …

https://www.horizonblue.com/sites/default/files/2017-04/2017_Managed_Care_Benefits_at_a_Glance_Reference_Guide.pdf

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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 …

https://www.horizonblue.com/sites/default/files/2020-04/32244_Other_healthcare_professional_checklist.pdf

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Uniform Managed Care Terms & Conditions - Texas Health …

(8 days ago) WEBCHIP Uniform Managed Care Contract Terms & Conditions.” Revision ; 2.1 . March 1, 2012 ; Definition “1915(c) Nursing Facility Waiver” is requirements regarding …

https://www.hhs.texas.gov/sites/default/files/documents/services/health/medicaid-chip/programs/contracts/uniform-managed-care-contract.pdf

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Molina to challenge Medicaid contract losses in Florida, Virginia

(5 days ago) WEBOverall, Molina added over half a million members from the contract expansions, driving its membership to 5.7 million people — and bumping its medical loss …

https://www.healthcaredive.com/news/molina-challenge-medicaid-contract-florida-virginia/714249/

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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 …

https://www.hhs.texas.gov/sites/default/files/documents/services/health/medicaid-chip/programs/contracts/star-kids-contract.pdf

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