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Product Information Guidelines for Successfully Enrolling People with Disabilities in Managed Care Plans

Highlights   Full Description   How to Obtain/Whom to Call   Web Links  
 Full Description: 
In response to plans for the use of managed care in Medicaid funded long-term care supports, the National Council on Disability developed a set of 20 principles for states to use in setting up their plans. Here is an excerpt from the NCD website explaining their purpose:

“In the current state and federal policy environment where reducing public expenditures is a primary aim of public policy, there is a significant risk that vulnerable people with disabilities will be the victims of poorly conceived and executed public policies that fail to meet their needs. If such results are to be avoided, it is essential that the principles articulated below are meticulously observed in designing and carrying out managed care initiatives involving people with chronic disabilities. Done right, all stakeholders will benefit.”

The principles are organized under the following four headings:

I. Personal Experience and Outcomes
(subheadings are Community Living, Personal Control, Employment, and Support for Family Caregivers)

II. Designing and Managing a Managed Care System
(subheadings are Stakeholder Involvement, Cross-Disability, Life-Span Focus, Readiness Assessment & Phase-In Schedule, Provider Networks, Transitioning To Community-Based Services, Competency & Expertise, Operational Responsibility & Oversight, Continuous Innovation, Maintenance of Effort & Reinvesting Savings, and Coordination of Services & Supports)

III. Managed Care Operating Components
(subheadings are Assistive Technology & Durable Medical Equipment, and Quality Management)

IV. Participant Rights
(subheadings are Civil Rights Compliance, Continuity of Medical Care, Due Process, and Grievances & Appeals)

Description based on an online review of the full document viewed online on 7/11/12 at http://www.ncd.gov/publications/2012/Feb272012/ click on the “Web Links” tab above to go to the full document.
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This web site is maintained by the Research and Training Center on Community Living with support from the National Association of State Directors of Developmental Disabilities Services, the Human Services Research Institute and the Administration on Intellectual and Developmental Disabilities. E-mail weste050@umn.edu.
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