RCO Program Public Forum set for Montgomery September 21, 2016


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The Alabama Medicaid Agency invites providers, recipients and other interested individuals to provide input on the Regional Care Organization (RCO) Program during a September public forum in Montgomery.

Comments will be taken during an open forum on Wednesday, September 21, at 1:30 p.m., in the Agency’s 4th Floor Board Room at 501 Dexter Avenue.

Regional Care Organizations are community and provider-led managed care organizations that will receive an established per member per month fee (capitation payment) from the state to coordinate care and pay providers for covered services for most Medicaid recipients. An estimated 650,000 Alabamians with full Medicaid benefits are expected to enroll in the program.

The goals of the RCO Program are to improve:

·         Prevention and management of chronic disease
·         Access to and care coordination of health services
·         Birth outcomes
·         Healthcare delivery system financial efficiency

Information on Regional Care Organizations and the 1115 waiver are available on the Agency’s RCO Program webpage.

This forum is a requirement by the Centers for Medicare and Medicaid Services (CMS) for the 1115 Demonstration Waiver under which the planned RCO Program will operate. The waiver was approved in February 2016.