ADMINISTRATIVE CAPACITY. The ability of an MCP to meet administrative requirements has been found to be both an indicator of current plan performance and a predictor of future performance. Deficiencies in administrative capacity make the accurate assessment of performance in other categories difficult, with findings uncertain. Performance in this category will be determined by the Compliance Assessment System, and the emergency department diversion program. For a comprehensive description of the Administrative Capacity performance measures below, see ODJFS Methods for ABD Medicaid Managed Care Program Administrative Capacity Performance Measures, which are incorporated in this Appendix.
Appears in 4 contracts
Samples: Medical Assistance Provider Agreement (Wellcare Health Plans, Inc.), Assistance Provider Agreement (Molina Healthcare Inc), Ohio Medical Assistance Provider Agreement (Wellcare Health Plans, Inc.)
ADMINISTRATIVE CAPACITY. The ability of an MCP to meet administrative requirements has been found to be both an indicator of current plan performance and a predictor of future performance. Deficiencies in administrative capacity make the accurate assessment of performance in other categories difficult, with findings uncertain. Performance in this category will be determined by the Compliance Assessment System, and the emergency department diversion program. For a comprehensive description of the Administrative Capacity performance measures below, see ODJFS Methods for ABD Medicaid Managed Care Program Administrative Capacity Performance Measures, which are incorporated in this AppendixMeasures for the Medicaid CFC Managed Care Program.
Appears in 3 contracts
Samples: Medical Assistance Provider Agreement (Molina Healthcare Inc), Assistance Provider Agreement (Wellcare Health Plans, Inc.), Provider Agreement (Wellcare Health Plans, Inc.)
ADMINISTRATIVE CAPACITY. The ability of an MCP to meet administrative requirements has been found to be both an indicator of current plan performance and a predictor of future performance. Deficiencies in administrative capacity make the accurate assessment of performance in other categories difficult, with findings uncertain. Performance in this category will be determined by the Compliance Assessment System, and the emergency department diversion program. For a comprehensive description of the Administrative Capacity performance measures below, see ODJFS Methods for ABD Medicaid Managed Care Program the Administrative Capacity Performance Measures, which are incorporated in this AppendixMeasure for the CFC Managed Care Program.
Appears in 2 contracts
Samples: Wellcare Health Plans, Inc., Wellcare Health Plans, Inc.
ADMINISTRATIVE CAPACITY. The ability of an MCP to meet administrative requirements has been found to be both an indicator of current plan performance and a predictor of future performance. Deficiencies in administrative capacity make the accurate assessment of performance in other categories difficult, with findings uncertain. Performance in this category will be determined by the Compliance Assessment System, and the emergency department diversion program. For a comprehensive description of the Administrative Capacity performance measures below, see ODJFS Methods for the ABD Medicaid Managed Care Program Administrative Capacity Performance MeasuresMeasure, which are incorporated in this Appendix.
Appears in 2 contracts
Samples: Provider Agreement (Molina Healthcare Inc), Provider Agreement (Wellcare Health Plans, Inc.)
ADMINISTRATIVE CAPACITY. The ability of an MCP to meet administrative requirements has been found to be both an indicator of current plan performance and a predictor of future performance. Deficiencies in administrative capacity make the accurate assessment of performance in other categories difficult, with findings uncertain. Performance in this category will be determined by the Compliance Assessment System, and the emergency department diversion program. For a comprehensive description of the Administrative Capacity performance measures below, see ODJFS Methods for ABD Medicaid Managed Care Program Administrative Capacity Performance Measures, which are incorporated in this Appendix.
Appears in 2 contracts
Samples: Ohio Medical Assistance Provider Agreement (Centene Corp), Ohio Medical Assistance Provider Agreement for Managed Care Plan (Wellcare Health Plans, Inc.)
ADMINISTRATIVE CAPACITY. The ability of an MCP to meet administrative requirements has been found to be both an indicator of current plan performance and a predictor of future performance. Deficiencies in administrative capacity make the accurate assessment of performance in other categories difficult, with findings uncertain. Performance in this category will be determined by the Compliance Assessment System, assessment of enrollees screened positive for special health needs, and the emergency department diversion program. For a comprehensive description of the Administrative Capacity performance measures below, see ODJFS Methods for ABD Medicaid Managed Care Program Administrative Capacity Performance Measures, which are incorporated in this Appendix.
Appears in 1 contract
Samples: Provider Agreement (Centene Corp)
ADMINISTRATIVE CAPACITY. The ability of an MCP to meet administrative requirements has been found to be both an indicator of current plan performance and a predictor of future performance. Deficiencies in administrative capacity make the accurate assessment of performance in other categories difficult, with findings uncertain. Performance in this category will be determined by the Compliance Assessment System, and the emergency department diversion program. For a comprehensive description of the Administrative Capacity performance measures below, see ODJFS Methods for ABD Medicaid Managed Care Program the Administrative Capacity Performance Measures, which are incorporated in this Appendix.Measure for the CFC Managed Care Program. Appendix M Covered Families and Children (CFC) population
Appears in 1 contract
Samples: CFC Provider Agreement (Wellcare Health Plans, Inc.)
