RD495 - Annual Report on Care Coordination Activities – November 2016

Executive Summary:
This report is being submitted in response to the requirement in Item 306.MM that the Department of Medical Assistance Services (“DMAS” or “the Department”) annually report on the progress of DMAS’ implementation of care coordination for Medicaid enrollees.

Currently, the Department is significantly enhancing access to care coordination through the extension of managed care for all Medicaid enrollees. Care coordination and disease management is at the heart of the Medallion 3.0 managed care approach to care delivery. Care coordination is a service delivery model where teams of health care providers work together to ensure that each member’s health and wellness needs are being met effectively. Care coordinators act as a central hub for the health care needs of individuals. They maintain ongoing awareness of each client’s medical needs and services.