Learn how HPA helped eight managed care organizations implement RPA to comply with evolving regulations and secure their Medicaid contracts with the State of Texas. Read the case study. The Medicaid program in the United States is administered through the U.S. Department of Health and Human Services through Centers for Medicare and Medicaid Services (CMS). CMS establishes the program requirements and monitors each state’s program to ensure their compliance. States are required to follow the CMS protocol for service quality and eligibility standards, a responsibility that most states contract to health insurance companies. A provision of the Affordable Care Act …
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