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There are several approaches to the interagency division of responsibility for managed care entity (MCE) oversight. In State M, the state Medicaid agency, the state department of health, and the state insurance department are all responsible for ensuring that quality improvement programs are in place among the same group of MCEs and that these programs meet each agency's rules and regulations for such programs. This information indicates that State M uses the approach known as the
Suggested Answer: C
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7 comments · newest first
SH
Shala
1 year ago
Wait, all three agencies? That's unusual!
JU
Judy
1 year ago
Concurrent model seems like a stretch for this scenario.
AL
Allene
1 year ago
I thought the PACE model was more common for this?
MA
Matilda
1 year ago
Definitely a Parallel model situation here!
AN
Andra
1 year ago
Sounds like State M is using the Shared model.
HA
Hailey
1 year ago
I'm pretty sure P2P stands for Peer to Peer, which is a common networking term. I'll mark that one.
TR
Trinidad
1 year ago
Hmm, this seems like a tricky one. I'll need to think through the different AAI items that are used when closing the fiscal year.