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A Managed Care Organization (MCO) is a health plan or health care company that utilizes managed care as its model to keep the quality of care high while limiting costs. As part of a managed care system, an MCO agrees to offer its services at a reduced cost, along with other MCOs in the network.
A Managed Care Organization (MCO) is a healthcare provider that provides services for a set monthly fee. An MCO is either a Health Maintenance Organization (HMO) or a Managed Care Community Network (MCCN).
Medicaid managed care provides for the delivery of Medicaid health benefits and additional services through contracted arrangements between state Medicaid agencies and managed care organizations (MCOs) that accept a set per member per month (capitation) payment for these services.
​Managed Care Organization Information Each HealthChoices consumer is assigned a Behavioral Health Managed Care Organization (BH-MCO) based on his or her county of residence. Members, then, have a choice of Behavioral Health Care providers within the BH-MCOs network.
There are five HealthChoices Zones: the Southeast Zone, the Southwest Zone, the Lehigh/Capital Zone, and the newest zones in the Northwest and the Northeast. Medicaid consumers in nearly all categories of eligibility, who reside in a HealthChoices zone, are required to choose an MCO.
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