Model managed care contracts

Managed care

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)

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.

SMAC model contract (for reference only)

Behavioral Health Administrative Services Organization (BH-ASO)

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 (for reference only)
BH-ASO contract deliverable naming conventions
BH-ASO report template