Definition
State Medicaid programs operating under a Section 1915(b) waiver that permits them to mandate Medicaid enrollment into managed care or otherwise limit individuals' choice of provider under Medicaid; or create a "carve out" delivery system for specialty care, such as behavioral health care. Programs operating under this waiver cannot negatively impact beneficiary access or quality of care of services; and must be cost effective.
URL Name
NL-5000-5000-800-50
Third Level Code
NL-5000
Taxonomy Code
NL-5000.5000-800.50
Parent Code
NL-5000.5000-800
Family Code
N
Second Level Code
NL
Fifth Level Code
NL-5000-5000-800
Fourth Level Code
NL-5000-5000
Use References
Section 1915(b) Waiver Programs
Publication Status
Draft