Archived Questions and Answers

Managed Care

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  1. Is it still the expectation that MCOs participating in the Health Home program align themselves (contract with) a RHIO as a condition of the Health Home program within the next 18 months? Or, is it the requirement for the Provider Lead Health Homes to obtain a contract with a RHIO?

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Is it still the expectation that MCOs participating in the Health Home program align themselves (contract with) a RHIO as a condition of the Health Home program within the next 18 months? Or, is it the requirement for the Provider Lead Health Homes to obtain a contract with a RHIO?

There has never been a requirement for Managed Care Plans to work with RHIOs. Provider Led Health Homes and their network partners (as specified in the HIT standards) have 18 months to meet final HIT requirements which include working with a RHIO/qualified entity (QE). For more information on HIT requirements click here.

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