Eight Essential Actions for Expanding and Implementing Contracting with Medicaid and Marketplace Insurance Plans

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

  1. Enhance Current Contracts with Medicaid & Marketplace Insurance Plans
  2. Expand or Establish New Contracts with Medicaid & Marketplace Insurance Plans
  3. Market Your Program’s Services to Medicaid & Marketplace Insurance Plans
  4. Negotiate or Re-negotiate or Contract Terms with Medicaid & Marketplace Insurance Plans
  5. Increase Client & Community Awareness of New & Existing Contracts with Medicaid & Marketplace Insurance Plans
  6. Evaluate Costs Adequacy of Reimbursement from Medicaid & Marketplace Insurance Plans
  7. Evaluate & Improve Contracting Terms to Optimize Revenue
  8. 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

 

Part of Collection

We'd like your feedback

Was this page helpful?
I found this page helpful because the content on the page:
Check all that apply
I did not find this page helpful because the content on the page:
Check all that apply
Please include an email address if you would like a response
Please include an email address if you would like a response
Did you use this approach in your work?
Not yet because
If no, why not?