Peach State Health Plan HomeTown Health University桃州卫生计生大学.pptxVIP

Peach State Health Plan HomeTown Health University桃州卫生计生大学.pptx

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Peach State Health Plan HomeTown Health University桃州卫生计生大学

1 Provider Town Hall Presentation Managed Medical Assistance (MMA) Child Welfare (CW) 2014 Agenda 2 Sunshine Health Managed Medical Assistance (MMA) Overview Child Welfare (CW) Program Overview Continuity of Care for Transitioning Members Cenpatico Behavioral Health Contracting Covered Services Expanded Benefits Q A 3 Sunshine Health Managed Medical Assistance (MMA) Overview Mark Barrett VP, Network Development Contracting MMA CW 2014 Sunshine Health Overview Sunshine Health is a wholly-owned subsidiary of Centene Corporation and has provided Medicaid Managed Care services in Florida since 2009. Products: Medicaid; Long Term Care; HealthyKids; Medicare SNP; and Health Insurance Exchange Number of Florida employees: 1,200+ Number of Florida physicians: 18,500+ 4 History and Scope of Centene Established in 1984 in Milwaukee, WI Headquartered in St. Louis, MO Fortune 500 company (#303) Employs approximately 8,700 individuals Serves government sponsored healthcare programs in 21 states Provider network includes over 190,000 physicians and 1,900 hospitals Centene Overview “Better Health Outcomes, Lower Cost” 5 Bringing Medicaid Leadership Experience to New Markets 1984 1995 2004 2006 1999 2006 2009 2009 2011 2012 2011 2012 2007 2012 2013 2013 2013 2010 Partnering with 19 State Medicaid Agencies* 6 Starting Q4 2014* * Fidelis SecureCare is subject to certain acquisition closing conditions including regulatory approvals Specialty Company Resources and Expertise Integrated Approach Total Solution Integration physical health, behavioral health, pharmacy services, and ancillary services 7 Centurion is a correctional healthcare joint venture between Centene and MHM Services Inc. Currently has contracts in MA, MN, and TN. Managed Medical Assistance (MMA) 2014 Rollout of MMA Regions 2, 3, 4 - May 1 Regions 5, 6, 8 - June 1 Regions 10, 11 - July 1 Regions 1, 7, 9 - August 1 8 Sunshine Health was selected to provide managed care services for Medi

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