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

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

aging.senate.gov
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29.07.2013 Views

Table l.a Selected Provisions Related to Disability Does the contract or RFP address whether: I) certain categories of recipients are enrolled, 2) specialty providers are available in the .network, and 3) special communication services are available for persons with disability? i | a Cu rs o Cr D DC FL A In IL 1A KS Kv M1 isD MA MN MN MO MTl ! ; |FULL ong>Managedong> ong>Careong> Enrolled Population (excerpted from Table 1.1 of study) MH FULL o MN SA ! Persons vwithdisability I 0 j 0 * j! EI *j I .*ti 1.E1| ,' Elderly i * ,f ./E j * . ./E 0 I j. ./E i !EjI 0 VE JEI I . j |E E. i.i.i.*.*. */E i ........ ,.......... ......... ........... ..1......... .......... ........ . ........... .... Persona needing lngg- j E ! n/c j j j term j j/E home and community care I i i i!! i_ Provider Network Standards (excerpted from Table 3 1 of study) ong>Specialong>tycareproviders i * ! i - I . Translation Services and Cultural Competknce (excerpted from Table 3.6 of study) D isabi nity- i i communication capricity i i j i i ; j j j i jrequired in network i i i i ! i .. .................... l Materials in other language or in form useful to people with disabilities Services for persons with speech, language, hearing, or vision related disabilities sabililies * i . ; ., , i ........................................ ; ................ '''''''''''''''''''''''''''1 ''''''''''''''''''''''''''''''''''"'" ''' .... ....... ... ... ...... ........ ....... ....... ... ..... . .. . ........ ... ...... ...... ..... ........ ........ ....... ........ ...... * means a at an issue was addressed in the contract or RFP. E means Ihat the enrollment category has been explicitly excluded from the contract or RFP. O/E means that certain groups within am enrollment category have been explicitly excluded from the contract or RFP. a reflects state revisions orcoutracts r RFP subsequent to study period and incorporated at state request. VE~~~~~~~jE , ,,, ,,, ,,, j,, ,,,,,,,,,,,j,,., .... j., ...... 4| j i J ! ' 4 ' l~~~~~~~~~~~~~~~~~~~... .. ... .... .. ... .... .... * i I. 0 0s 0l 0s " - - - - -i x l

Table l.b Selected Provisions Related to Disability Does the contract or RFP address whethbr: certain categories of recipients enrolled, 2) specialty providers available n the network, an 3) spoial ioommunication ervics are available for persons with isability? NC NMH RI Fl.l. 11 NY FULL Mll NC Oil OR . FltHl Hll PA RIl TN ' 111 FULL NH vr v* WA FULL NH wV WI II i 'o * ' g . i * i * i i * T ong>Managedong> ong>Careong> Enrolled Popoulation (from Table 1.1 of study) | * * I.'-*j i *- 14 * | I i * |* Persons with disability _ ... .. .... ..... ........ ;...._ ....... L ....... ..... ......... ........... .. .... .. .... ... .. .. ..._ .___.. i * i * * i * i * i * | 3 i * 3' * fl aElderly .. .....L .... .. ... .. .... .. .... .. .....I .... .. .. ... ......... ... ._ ... .. .. .. .. .... .. .. .... .. .. . _ ....... .. .. . .. ....._ _ ... ..... ... . . £, St E, in it I I !I-.. S *n:..... E ..... ..... ~~~~~E ...... ...... e F.*..|..-*....._..* ........... ......... ......... ...... 1 ....... ..... P e n o .edf ....... r E Residents of long-term *a I I ~~~~~~~~~~~~~~~~~~~ facilities Je I. ~~~~~~~Persons needing long-term home and community care Provider Network Standards (from Table 3.1 of study) i . i Is * ! I., I* * I ii * | ong>Specialong>ty care providers Translation Services and Cultural Competence (excerpted from Table 3.6 of study) j i .! 3' i * ! j | l 'i j ! l . Disability-communication ....... ...........i ......... lj ........... .......... ..... .... _. .. .. ... ..... .... .. ....... _ ...._.. .. 1 * j i * . I * i * * ! i * * i | * | * * . Materials in otherlanguageor i I i I iin form useful to people with i i i i I I i | i ! I | ............. .. '''''''' _._.. _ 'j_.... _._....... ... . __ ..... 1.__....... ~~~~~~~~~~~~~~~~~~ i * i * * 0 j * .. i * i ... i * - | * * | I * * Services for peonswith iII i i *I i i i j j i 1 ispeech, language, hearing, or ,. j...... J ..1........ ..Iij.J.j.....i..i..i.. L _ Ji _ vision relted disabilities * means that an issue was addressed in the contract or RFP. E means that the enrollment category has been explicitly excluded from the contract or RFP. I O/X means that certain groups within an enrollment category have been explicitly excluded from the contract or RFP. U reflects state revisions of contracts or RFP subsequent to study period and incorporated at stte request. 00

Table l.b Selected Provisi<strong>on</strong>s Related to Disability<br />

Does the c<strong>on</strong>tract or RFP address whethbr: certain categories of recipients enrolled, 2) specialty providers available n the network, an 3)<br />

spoial ioommunicati<strong>on</strong> ervics are available for pers<strong>on</strong>s with isability?<br />

NC NMH RI<br />

Fl.l. 11<br />

NY<br />

FULL Mll<br />

NC Oil OR .<br />

FltHl Hll<br />

PA RIl TN ' 111<br />

FULL NH<br />

vr v* WA<br />

FULL NH<br />

wV WI II<br />

i 'o * ' g . i * i * i i * T<br />

<str<strong>on</strong>g>Managed</str<strong>on</strong>g> <str<strong>on</strong>g>Care</str<strong>on</strong>g> Enrolled Popoulati<strong>on</strong> (from Table 1.1 of study)<br />

| * * I.'-*j i *- 14 * | I i * |* Pers<strong>on</strong>s with disability<br />

_ ... .. .... ..... ........ ;...._<br />

....... L ....... ..... ......... ........... .. .... .. .... ... .. .. ..._ .___..<br />

i * i * * i * i * i * | 3 i * 3' * fl<br />

aElderly<br />

.. .....L .... .. ... .. .... .. .... .. .....I .... .. .. ... ......... ... ._ ... .. .. .. .. .... .. .. .... .. .. . _ ....... .. .. . .. ....._ _ ... ..... ... . .<br />

£, St E, in it I I !I-.. S<br />

*n:..... E ..... ..... ~~~~~E ...... ...... e F.*..|..-*....._..* ........... ......... ......... ...... 1 ....... ..... P e n o .edf ....... r E Residents of l<strong>on</strong>g-term<br />

*a I I ~~~~~~~~~~~~~~~~~~~<br />

facilities<br />

Je I. ~~~~~~~Pers<strong>on</strong>s<br />

needing l<strong>on</strong>g-term<br />

home and community care<br />

Provider Network Standards (from Table 3.1 of study)<br />

i . i Is * ! I., I* * I ii * | <str<strong>on</strong>g>Special</str<strong>on</strong>g>ty care providers<br />

Translati<strong>on</strong> Services and Cultural Competence (excerpted from Table 3.6 of study)<br />

j i .! 3' i * ! j | l 'i j !<br />

l . Disability-communicati<strong>on</strong><br />

....... ...........i ......... lj ........... .......... ..... .... _. .. .. ... ..... .... .. ....... _ ...._.. ..<br />

1 * j i * . I * i * * ! i * * i | * | * * . Materials in otherlanguageor<br />

i I i I iin form useful to people with<br />

i i i i I I i | i ! I |<br />

............. .. '''''''' _._.. _ 'j_.... _._....... ... . __ ..... 1.__.......<br />

~~~~~~~~~~~~~~~~~~<br />

i * i * * 0 j * .. i * i ... i * - | * * | I * * Services for pe<strong>on</strong>swith<br />

iII i i *I i i i j j i 1 ispeech, language, hearing, or<br />

,. j...... J ..1........ ..Iij.J.j.....i..i..i.. L _ Ji _ visi<strong>on</strong> relted disabilities<br />

* means that an issue was addressed in the c<strong>on</strong>tract or RFP.<br />

E means that the enrollment category has been explicitly excluded from the c<strong>on</strong>tract or RFP. I<br />

O/X means that certain groups within an enrollment category have been explicitly excluded from the c<strong>on</strong>tract or RFP.<br />

U reflects state revisi<strong>on</strong>s of c<strong>on</strong>tracts or RFP subsequent to study period and incorporated at stte request.<br />

00

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