Key Contract Components: Considerations for Providers

More states are contracting with health plans to manage Medicaid long-term services and supports (LTSS). As a result, you may find yourself working with health plans instead of the state to provide care for your Medicaid clients. Contracting with a health plan may be a new experience for your organization. Although contracts, also referred to as agreements, between health plans and providers will vary, they will probably contain certain key components. This brief outlines key components of a contract or agreement for becoming a participating provider with a health plan.

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