Medicaid Managed Care - U.S. Senate Special Committee on Aging

Contents
409
Letter I
Appendix 1 30
Scope and
Methodology
Appendix 11 33
Federal and State
Oversight Roles of
<strong>Medicaid</strong> <strong>Managed</strong>
<strong>Care</strong>
Appendix III 36
Major Contributors to
This Report
Tables Table 1: Characteristics of <strong>Managed</strong> <strong>Care</strong> Programs Under 6
Program and Demonstration Waivers
Table 1.1: Selected Accountability Measures and Processes 30
Table 1.2: Description of the Four States <strong>Medicaid</strong> <strong>Managed</strong> <strong>Care</strong> 31
Programs That GAO Reviewed
Table 11.1: Federal Regulations, Requirements, and Guidance for 35
Selected Accountability Measures and Processes Within States'
<strong>Medicaid</strong> <strong>Managed</strong> <strong>Care</strong> Programs
Abbreviations
AFDC Aid to Families With Dependent Children
AIDS acquired Immune deficiency syndrome
EPSaDT early and periodic screening, diagnosis, and treatment
HCFA Health <strong>Care</strong> Financing Administration
HEDIS Health Plan Employer Data Information Set
HHs Department of Health and Human Services
HIV human Immunodeficiency virus
HMo health maintenance organization
NCQA National <strong>Committee</strong> on Quality Assurance
ssa Supplemental Security Income
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