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Managed Care

Managed Care Contracting, Part I: Contract Basics
Cost: $10.00
Part I of a two-part series developed by the Work Group on Managed Care, this information is designed to assist members in negotiating financially beneficial contracts with managed care companies. It includes a glossary of legal terms often found in managed care contracts, tips for negotiations, a list of issues to which members should pay particular attention, and a recommended reading list.
Order: MC-P1

Managed Care Contracting, Part II: Capitation
Cost: $10.00
Part II of a two-part series is for members who have experience with managed care contracts and are ready to take the next step and enter into capitation agreements. This brochure provides step-by-step suggestions on how to determine an equitable capitation rate, examples of calculation processes, and a recommended reading list.
Order: MC-P2

How to Communicate Effectively With Managed Care Companies When Appealing Non-Certification Decisions
Cost: $15.00
Developed by the Task Force on Managed Care, this brochure provides child and adolescent psychiatrists with strategies for responding to managed care vendors who deny certification of treatment that may be medically necessary.
Order: MC-AP

Best Principles for Managed Care Medicaid RFPs: How Decision-Makers Can Select and Monitor High Quality Programs!
Cost: $20.00
Developed by the Task Force on Community Systems of Care for Children with Serious Emotional Disturbances, this document is designed to assist decision-makers in selecting managed mental health care systems.
Order: MC-R1

Best Principles for Measuring Outcomes in Managed Care Medicaid Programs
Cost: $10.00
This document is a companion piece to the AACAP publication Best Principles for Managed Care Medicaid RFP's: How Decision-Makers Can Select and Monitor High Quality Programs. It is designed to assist state Medicaid agencies in evaluating whether managed Medicaid contractors are offering effective programs that adhere to the principles articulated in the agency's original request for proposal (RFP).
Order: MC-R2

CDc and audiocassettes are available from Communications Resource Management, Inc. Click here for more information.