Tips for Ryan White HIV/AIDS Program (RWHAP) recipients and sub-recipients on ways to improve contracting and billing processes. Tips are presented in sequential order but can be applied at variable points in time.
Components
Actions agencies can undertake to expand or establish contracts with Medicaid or Marketplace Insurance Plans.
Review of contracting opportunities (e.g., marketing when negotiating contracts) for Ryan White funded agencies that provide medical care and other services.
Steps agencies can take to bill for services that enhance their financial sustainability.
Tool for assessing your organization’s strengths and gaps in areas that (1) are important to insurers and (2) support maximizing revenue from contracting activities.
Review of the basics of Medicaid contracting with a focus on Medicaid Managed Care Organizations (MCOs).
Tips for negotiating contracts with insurers.