CRE TA Center
Actions agencies can undertake to expand or establish contracts with Medicaid or Marketplace Insurance Plans. This document is tailored for Ryan White HIV/AIDS Program (RWHAP)-funded core medical provider managers or administrators.
Actions
- Enhance Current Contracts with Medicaid & Marketplace Insurance Plans
- Expand or Establish New Contracts with Medicaid & Marketplace Insurance Plans
- Market Your Program’s Services to Medicaid & Marketplace Insurance Plans
- Negotiate or Re-negotiate or Contract Terms with Medicaid & Marketplace Insurance Plans
- Increase Client & Community Awareness of New & Existing Contracts with Medicaid & Marketplace Insurance Plans
- Evaluate Costs Adequacy of Reimbursement from Medicaid & Marketplace Insurance Plans
- Evaluate & Improve Contracting Terms to Optimize Revenue
- Improve Steps in the Revenue Cycle to Maximize Revenue
See also the following webinars, which explore these steps:
- Actions 1, 2, 3, 4 - Expanding Contracting Beyond Medicaid Fee for Service
- Action 3 - How to Market Your HIV Program's Services to Insurance Plans: Putting Your Best Foot Forward
- Actions 4 and 7 - Tips for Negotiating Contracts with Medicaid and Marketplace Insurance Plans
- Action 6 - Cost Analysis Basics: A Resource Developed for Ryan White HIV/AIDS Program Core Medical Providers