Probationary RCOs take preparatory steps to become fully certified as RCOs, the
Alabama Medicaid Agency is expanding its outreach efforts to involve a wider
circle of stakeholders.
the major issues is that providers' relationships with Medicaid will
substantially change once RCOs are implemented," said Medicaid Chief
Medical Officer Dr. Robert Moon. "Many of the policy decisions now made by
Medicaid will be the responsibility of the RCOs in the future. It is our goal
to help providers and recipients adjust to this new relationship by providing
opportunities for meaningful dialogue."
outreach activities include informational sessions for providers and specific
workgroups for primary care physicians and those serving special needs children
February and March, more than 1200 individuals attended one of 17 Provider
Forums held in 10 different locations. The sessions updated participants on the
planned implementation, how Medicaid recipients will enroll in the program and
provided an opportunity for questions from participants.
Agency outreach effort involves two new workgroups - one for primary medical
providers and another for providers serving children and youth with special
health care needs -- that have been formed to identify and work through issues
related to RCO implementation. The PMP workgroup began in November 2015 and
includes pediatricians and family physicians as well as representatives from
FQHCs, Rural Health Clinics and the probationary RCOs. The Special Needs group is comprised of
representatives of state agencies serving special needs clients as well as the
state Disabilities Coalition, Children's of Alabama, USA Women and Children's Hospital
of Alabama, pediatricians and the probationary RCOs.
discussion to date have included selection and management of provider panels,
care coordination, enrollment of recipients and issues unique to special needs
in these sessions have been actively engaged in exploring the details that
directly related to providing patient care in the new RCO environment,"
Dr. Moon said. "We look forward to
their continued involvement and input so our program reflects the input of our
providers, recipients and advocates and others."