Engaging Providers in Building Managed Care Delivery Systems: Tips for States

As states develop managed care programs for individuals who are dually eligible for Medicare and Medicaid or who use long-term services and supports, it is important for states to engage medical, behavioral health, and home- and community-based service providers, as well as hospitals and nursing facilities. Providers can serve as an important channel for communication with state policymakers and administrators about how the managed care program is faring, and they can help highlight best practices and identify problems before they occur. This brief, developed through support from The Commonwealth Fund and The SCAN Foundation, provides tips to help states engage providers in designing, implementing, and overseeing a managed care delivery system for individuals with complex care needs.