TABLE 1

Summary of Legal and Policy Documents Collected and in Effect as of March 2012, by State

States With Full-Risk MMC Programs (n = 33)State Regulations or Administrative CodesModel MCO ContractFirst MCO Provider ManualSecond MCO Provider Manual
ArizonaYesaYesYes
CaliforniaYesYesYesYes
ColoradoYesYesYesYes
DelawareYesaYesYes
FloridaYesYesaa
GeorgiaYesYesYesYes
HawaiiYesYesYesa
IllinoisYesYesYesYes
IndianaYesaYesYes
KansasYesaYesa
KentuckyYesaYesYes
MarylandYesaYesYes
MassachusettsYesaYesYes
MichiganYesYesYesYes
MinnesotaYesYesYesYes
MissouriYesaaYes
NebraskaYesaYesYes
NevadaYesYesaa
New JerseyYesYesYesYes
New MexicoYesYesYesYes
New YorkYesYesYesYes
OhioYesaYesYes
OregonYesYesaYes
PennsylvaniaYesYesYesYes
Rhode IslandYesaYesYes
South CarolinaYesYesYesYes
TennesseeYesYesYesYes
TexasYesYesYesYes
UtahYesaYesYes
VirginiaYesaaYes
WashingtonYesYesYesYes
West VirginiaYesaYesa
WisconsinYesaYesYes
Total (%)33 (100%)18 (55%)28 (85%)28 (85%)
56/66 (85%)
  • a Not able to locate and download document from state or Medicaid MCO Web site or not able to access document because of requirements for providers to have an ID and a password.