Model managed care contracts

Model managed care contracts

The Apple Health (Medicaid) managed care contracts (for reference only) identify the requirements and guidelines managed care organizations (MCO) must follow when providing access to health care services.

Model contracts (for reference only)

Model State Medicaid Agency Contract (SMAC)

The State Medicaid Agency Contract (SMAC) identifies the requirements and guidelines Medicare Advantage (MA) Health Plans must follow when serving the dual-eligible individuals, allowing care coordination between Medicare and Apple Health (Medicaid) services.

Model contract (for reference only)

Model Behavioral Health Administrative Services Organization (BH-ASO) contracts

Model BH-ASO contracts (for reference only) identify the requirements and guidelines behavioral health administrative organizations must follow when providing access to behavioral health crisis services and supports to Medicaid and non-Medicaid individuals.

BH-ASO model contract

BH-ASO report template