Eight Essential Actions for Expanding and Implementing Contracting with Medicaid and Marketplace Insurance Plans

CRE TA Center

Actions agencies can undertake to expand or establish contracts with Medicaid or Marketplace Insurance Plans. This document is tailored for Ryan White HIV/AIDS Program (RWHAP)-funded core medical provider managers or administrators.

Actions

  1. Enhance Current Contracts with Medicaid & Marketplace Insurance Plans
  2. Expand or Establish New Contracts with Medicaid & Marketplace Insurance Plans
  3. Market Your Program’s Services to Medicaid & Marketplace Insurance Plans
  4. Negotiate or Re-negotiate or Contract Terms with Medicaid & Marketplace Insurance Plans
  5. Increase Client & Community Awareness of New & Existing Contracts with Medicaid & Marketplace Insurance Plans
  6. Evaluate Costs Adequacy of Reimbursement from Medicaid & Marketplace Insurance Plans
  7. Evaluate & Improve Contracting Terms to Optimize Revenue
  8. Improve Steps in the Revenue Cycle to Maximize Revenue

 

Components

  • Contracting Essentials: You Don’t Need an MBA!

    Webinar on eight actions agencies can undertake to expand or establish contracts with Medicaid or Marketplace Insurance Plans. Tailored for Ryan White HIV/AIDS Program (RWHAP)-funded core medical provider managers or administrators.

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