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The following resources are available to help managed care organizations providing services for Apple Health (Medicaid) managed care clients.
- Encounter Data Reporting Guide
Requirements and guidelines for reporting health care services
- Apple Health (Medicaid) managed care service areas
- Model managed care contracts
Model managed care contracts are used by managed care organizations (MCOs) in providing access to quality health care services for eligible Washington State citizens.
- Patient Review and Coordination Guide
This guide is for MCOs in developing and managing a Patient Review and Coordination (PRC) Program.
- ProviderOne 5010 companion guides
Use these guides in conjunction with the HIPAA National Electronic Data Interchange Implementation Guides.