This report examines how five states—Oklahoma, North Carolina, Pennsylvania, Indiana, and Arkansas—have enhanced their Medicaid primary care case management (PCCM) programs to provide more intensive care management and care coordination for high-need beneficiaries, improve...

Oklahoma’s Medicaid managed care 1115 waiver program, SoonerCare, has been through many changes in the last 15 years, including the end of fully capitated managed care in 2003 and expansion statewide of the SoonerCare Choice enhanced primary care case management program....

Oklahoma’s Medicaid managed care 1115 waiver program, SoonerCare, has been through many changes in the last 15 years, including the end of fully capitated managed care in 2003 and expansion statewide of the SoonerCare Choice enhanced primary care case management program. Mathematica’s...

This toolkit provides a practical guide to collecting, validating, and reporting Medicaid managed care encounter data.

This report summarizes a comprehensive evaluation of Healthy San Francisco, a program for uninsured adults ages 18 to 64. The evaluation found that program participants regularly receive outpatient care at their medical homes, including recommended preventive services; are using fewer emergency...