Medicaid Non-Emergency Out-of-Network Payment Study
July 2009
Medicaid Health Plans of America (MHPA); Association for Community Affiliated Plans (ACAP)
For MHPA and ACAP, The Lewin Group assessed the financial impact and administrative burden that out-of-network claims pose in Medicaid managed care. The report examined Medicaid non-emergency out-of-network payment policies in Arizona, California, Florida, Georgia, Maryland, Nebraska, New Jersey, New York, Pennsylvania, Tennessee, Texas and Wisconsin.