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This protocol assesses whether Medicaid Managed Care Organizations (MCOs) comply with federal and state regulations. It involves a systematic review of policies, procedures, and operations—ensuring that MCOs meet requirements related to access, quality of care, member rights, and grievance processes. The findings help states identify areas for improvement and ensure accountability in Medicaid service delivery.

Standards Assessment

Protocol 3 activities evaluates whether Medicaid Managed Care Organizations (MCOs) meet federal and state regulatory requirements.

Operational Review

Protocol 3 activities examine policies, procedures, and practices related to quality of care, member rights, and service delivery.

Accountability Tool

Protocol 3 activities identify areas of noncompliance and supports corrective action to improve overall program performance and integrity.

Curriculum

3 Chapters · 3 Lessons

1
Session 1
1. (Included in full purchase)
  Activities 1 and 2
2
Session 2
1. (Included in full purchase)
  Activities 3, 4 and 5
3
Session 3
1. (Included in full purchase)
  Review of Protocol 3