Under New York's mandatory Medicaid managed care program, capitation rates will be determined by the state for both mainstream and HIV Special Needs Plans through analysis of the Medicaid paid claims file. There are several key issues of additional policy and programmatic concerns to be addressed by New York State. These issues include analyses of HIV service provider capacity, the provision of technical assistance to providers for Special Needs Plans service delivery structures and network development, and analyses of the marginal costs of specialized HIV services. Addressing these issues in the future should help assure successful implementation of managed care for persons with HIV disease or any other chronically ill population. To be added to the distribution list, click here .
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