2009 Performance Measure Data Submitted July 1, 2010 for Medicaid Reform

Ratings

Methods and Data Sources

How the Ratings are Calculated

Health plan ratings, shown as checkmarks (One Check), are assigned to each health plan for each indicator based on the plan's score for the indicator. Scores are typically the percentage of members that received a service. The following method was used to calculate the plan's rating.

First, all scores for a specific indicator are grouped for Medicaid Reform by contract. Then, the average (mean) score for the group is calculated. Plans that score at or near the group average are given two checkmarks. A plan may score above (better) the average or below (worse) the average. A measure of how different a score is from the average is called the standard deviation.

For each indicator, plans are assigned a rating as follows:

Three Checks Out of Three Possible Checks
   1 or more standard deviations above the average score (Highest rank)
Two checks Out of Three Possible Checks
   The average score
One Check
   1 or more standard deviations below the average score (Lowest rank)


If a health plan has a score that is equal to a standard deviation benchmark, the health plan is assigned the higher ranking. For all indicators, three checkmarks represent the highest rank and one checkmark represents the lowest rank.


Diamond means Not Measurable / Small Population- Not Measurable/Small Population Triangle means Not Reported - Not Reported Square means Not Applicable / Not Available - Not Applicable/Not Available
One Check- Three checkmarks represent the highest rank and one checkmark represents the lowest rank.

Plan Name

Adolescent Well Care

 Adult BMI Assessment Adults' Access to Preventive/ Ambulatory Health Services - ages 20-44 Adults' Access to Preventive/ Ambulatory Health Services - ages 45-64 Adults' Access to Preventive/ Ambulatory Health Services - ages 65+
Access Health Diamond means Not Measurable / Small Population Diamond means Not Measurable / Small Population Diamond means Not Measurable / Small Population Diamond means Not Measurable / Small Population Diamond means Not Measurable / Small Population
Amerigroup Diamond means Not Measurable / Small Population One Check Diamond means Not Measurable / Small Population Diamond means Not Measurable / Small Population Diamond means Not Measurable / Small Population
Better Health
Diamond means Not Measurable / Small Population
Diamond means Not Measurable / Small Population
Diamond means Not Measurable / Small Population
Diamond means Not Measurable / Small Population
Diamond means Not Measurable / Small Population
CMS Two checks Out of Three Possible Checks Two checks Out of Three Possible Checks Diamond means Not Measurable / Small Population Square means Not Applicable / Not Available Square means Not Applicable / Not Available
FCA Two checks Out of Three Possible Checks Three Checks Out of Three Possible Checks Two checks Out of Three Possible Checks Two checks Out of Three Possible Checks Two checks Out of Three Possible Checks
Freedom Two checks Out of Three Possible Checks Diamond means Not Measurable / Small Population One Check One Check Diamond means Not Measurable / Small Population
Humana Two checks Out of Three Possible Checks One Check Two checks Out of Three Possible Checks Two checks Out of Three Possible Checks Two checks Out of Three Possible Checks
Molina Diamond means Not Measurable / Small Population Diamond means Not Measurable / Small Population Diamond means Not Measurable / Small Population Diamond means Not Measurable / Small Population Diamond means Not Measurable / Small Population
Preferred Diamond means Not Measurable / Small Population One Check Diamond means Not Measurable / Small Population Diamond means Not Measurable / Small Population Diamond means Not Measurable / Small Population
SFCCN Two checks Out of Three Possible Checks One Check Two checks Out of Three Possible Checks Two checks Out of Three Possible Checks Two checks Out of Three Possible Checks
Total Two checks Out of Three Possible Checks One Check Two checks Out of Three Possible Checks Two checks Out of Three Possible Checks Two checks Out of Three Possible Checks
United Two checks Out of Three Possible Checks Two checks Out of Three Possible Checks Two checks Out of Three Possible Checks Two checks Out of Three Possible Checks Two checks Out of Three Possible Checks
Universal Two checks Out of Three Possible Checks Diamond means Not Measurable / Small Population One Check One Check Diamond means Not Measurable / Small Population

Diamond means Not Measurable / Small Population- Not Measurable/Small Population Triangle means Not Reported - Not Reported Square means Not Applicable / Not Available - Not Applicable/Not Available
One Check- Three checkmarks represent the highest rank and one checkmark represents the lowest rank.

Plan Name Adults' Access to Preventive/ Ambulatory Health Services - Total Annual Dental Visits - Total Antidepressant Medication Management - Effective Acute Phase Treatment Antidepressant Medication Management - Effective Continuation Phase Treatment

Breast Cancer Screening

Cervical Cancer Screening
Diamond means Not Measurable / Small Population Diamond means Not Measurable / Small Population Diamond means Not Measurable / Small Population Diamond means Not Measurable / Small Population Diamond means Not Measurable / Small Population Diamond means Not Measurable / Small Population
Diamond means Not Measurable / Small Population Diamond means Not Measurable / Small Population Two checks Out of Three Possible Checks Two checks Out of Three Possible Checks Diamond means Not Measurable / Small Population Diamond means Not Measurable / Small Population
Diamond means Not Measurable / Small Population
Square means Not Applicable / Not Available
Diamond means Not Measurable / Small Population
Diamond means Not Measurable / Small Population
Diamond means Not Measurable / Small Population
Diamond means Not Measurable / Small Population
Two checks Out of Three Possible Checks Two checks Out of Three Possible Checks Diamond means Not Measurable / Small Population Diamond means Not Measurable / Small Population Square means Not Applicable / Not Available Square means Not Applicable / Not Available
Two checks Out of Three Possible Checks Two checks Out of Three Possible Checks Two checks Out of Three Possible Checks Two checks Out of Three Possible Checks Two checks Out of Three Possible Checks Two checks Out of Three Possible Checks
One Check One Check Diamond means Not Measurable / Small Population Diamond means Not Measurable / Small Population Diamond means Not Measurable / Small Population One Check
Two checks Out of Three Possible Checks Two checks Out of Three Possible Checks Diamond means Not Measurable / Small Population Diamond means Not Measurable / Small Population Two checks Out of Three Possible Checks Two checks Out of Three Possible Checks
Diamond means Not Measurable / Small Population Diamond means Not Measurable / Small Population Diamond means Not Measurable / Small Population Diamond means Not Measurable / Small Population Diamond means Not Measurable / Small Population Diamond means Not Measurable / Small Population
Diamond means Not Measurable / Small Population Diamond means Not Measurable / Small Population Diamond means Not Measurable / Small Population Diamond means Not Measurable / Small Population Diamond means Not Measurable / Small Population Diamond means Not Measurable / Small Population
Two checks Out of Three Possible Checks Two checks Out of Three Possible Checks Two checks Out of Three Possible Checks Two checks Out of Three Possible Checks Two checks Out of Three Possible Checks Two checks Out of Three Possible Checks
Two checks Out of Three Possible Checks Triangle means Not Reported Diamond means Not Measurable / Small Population Diamond means Not Measurable / Small Population Two checks Out of Three Possible Checks Two checks Out of Three Possible Checks
Two checks Out of Three Possible Checks Two checks Out of Three Possible Checks Diamond means Not Measurable / Small Population Diamond means Not Measurable / Small Population Two checks Out of Three Possible Checks Two checks Out of Three Possible Checks
One Check One Check Diamond means Not Measurable / Small Population Diamond means Not Measurable / Small Population Diamond means Not Measurable / Small Population Two checks Out of Three Possible Checks

Diamond means Not Measurable / Small Population- Not Measurable/Small Population Triangle means Not Reported - Not Reported Square means Not Applicable / Not Available - Not Applicable/Not Available
One Check- Three checkmarks represent the highest rank and one checkmark represents the lowest rank.

Plan Name Childhood Immunization Status - Combination 2 Childhood Immunization Status - Combination 3 Comprehensive Diabetes - Eye Exam Comprehensive Diabetes - Good Control Comprehensive Diabetes - HbA1C Poor Control
(Inverse Measure )		 Comprehensive Diabetes - HbA1C Testing
One Check One Check
Diamond means Not Measurable / Small Population
 Diamond means Not Measurable / Small Population Diamond means Not Measurable / Small Population Diamond means Not Measurable / Small Population
Two checks Out of Three Possible Checks Two checks Out of Three Possible Checks Diamond means Not Measurable / Small Population Diamond means Not Measurable / Small Population Diamond means Not Measurable / Small Population Diamond means Not Measurable / Small Population
Diamond means Not Measurable / Small Population
Diamond means Not Measurable / Small Population
Diamond means Not Measurable / Small Population
Diamond means Not Measurable / Small Population
Diamond means Not Measurable / Small Population
 Diamond means Not Measurable / Small Population
Two checks Out of Three Possible Checks Two checks Out of Three Possible Checks Diamond means Not Measurable / Small Population Diamond means Not Measurable / Small Population Diamond means Not Measurable / Small Population Diamond means Not Measurable / Small Population
Two checks Out of Three Possible Checks Two checks Out of Three Possible Checks Two checks Out of Three Possible Checks Two checks Out of Three Possible Checks Two checks Out of Three Possible Checks Two checks Out of Three Possible Checks
Diamond means Not Measurable / Small Population Diamond means Not Measurable / Small Population One Check Two checks Out of Three Possible Checks Two checks Out of Three Possible Checks Two checks Out of Three Possible Checks
Two checks Out of Three Possible Checks Two checks Out of Three Possible Checks Two checks Out of Three Possible Checks Two checks Out of Three Possible Checks Two checks Out of Three Possible Checks Two checks Out of Three Possible Checks
Diamond means Not Measurable / Small Population Diamond means Not Measurable / Small Population Diamond means Not Measurable / Small Population Diamond means Not Measurable / Small Population Diamond means Not Measurable / Small Population Diamond means Not Measurable / Small Population
Two checks Out of Three Possible Checks Two checks Out of Three Possible Checks Diamond means Not Measurable / Small Population Diamond means Not Measurable / Small Population Diamond means Not Measurable / Small Population Diamond means Not Measurable / Small Population
Two checks Out of Three Possible Checks Two checks Out of Three Possible Checks Two checks Out of Three Possible Checks Two checks Out of Three Possible Checks Two checks Out of Three Possible Checks Two checks Out of Three Possible Checks
One Check One Check One Check Two checks Out of Three Possible Checks Two checks Out of Three Possible Checks Two checks Out of Three Possible Checks
Two checks Out of Three Possible Checks Two checks Out of Three Possible Checks Two checks Out of Three Possible Checks Two checks Out of Three Possible Checks Two checks Out of Three Possible Checks Two checks Out of Three Possible Checks
Diamond means Not Measurable / Small Population Diamond means Not Measurable / Small Population Two checks Out of Three Possible Checks Two checks Out of Three Possible Checks Two checks Out of Three Possible Checks Two checks Out of Three Possible Checks

Diamond means Not Measurable / Small Population- Not Measurable/Small Population Triangle means Not Reported - Not Reported Square means Not Applicable / Not Available - Not Applicable/Not Available
One Check- Three checkmarks represent the highest rank and one checkmark represents the lowest rank.

Plan Name Comprehensive Diabetes - LDL Screening Comprehensive Diabetes - LDL-C Control Comprehensive Diabetes - Nephropathy Controlling Blood Pressure - Total
Diamond means Not Measurable / Small Population Diamond means Not Measurable / Small Population Diamond means Not Measurable / Small Population Diamond means Not Measurable / Small Population
Diamond means Not Measurable / Small Population Diamond means Not Measurable / Small Population Diamond means Not Measurable / Small Population Diamond means Not Measurable / Small Population
Diamond means Not Measurable / Small Population
Diamond means Not Measurable / Small Population
Diamond means Not Measurable / Small Population
Diamond means Not Measurable / Small Population
Diamond means Not Measurable / Small Population Diamond means Not Measurable / Small Population Diamond means Not Measurable / Small Population Square means Not Applicable / Not Available
Two checks Out of Three Possible Checks Two checks Out of Three Possible Checks Two checks Out of Three Possible Checks Two checks Out of Three Possible Checks
One Check Two checks Out of Three Possible Checks Two checks Out of Three Possible Checks Two checks Out of Three Possible Checks
Two checks Out of Three Possible Checks Two checks Out of Three Possible Checks Two checks Out of Three Possible Checks Two checks Out of Three Possible Checks
Diamond means Not Measurable / Small Population Diamond means Not Measurable / Small Population Diamond means Not Measurable / Small Population Diamond means Not Measurable / Small Population
Diamond means Not Measurable / Small Population Diamond means Not Measurable / Small Population Diamond means Not Measurable / Small Population Diamond means Not Measurable / Small Population
Two checks Out of Three Possible Checks Two checks Out of Three Possible Checks Two checks Out of Three Possible Checks Two checks Out of Three Possible Checks
Two checks Out of Three Possible Checks Two checks Out of Three Possible Checks Two checks Out of Three Possible Checks Two checks Out of Three Possible Checks
Two checks Out of Three Possible Checks Two checks Out of Three Possible Checks Two checks Out of Three Possible Checks Two checks Out of Three Possible Checks
Two checks Out of Three Possible Checks Two checks Out of Three Possible Checks Two checks Out of Three Possible Checks Two checks Out of Three Possible Checks

Diamond means Not Measurable / Small Population- Not Measurable/Small Population Triangle means Not Reported - Not Reported Square means Not Applicable / Not Available - Not Applicable/Not Available
One Check- Three checkmarks represent the highest rank and one checkmark represents the lowest rank.

Plan Name Follow-Up after Hospitalization for Mental Illness - 7 Day Follow-Up after Hospitalization for Mental Illness - 30 Day Follow-Up Care for Children Prescribed ADHD Medication - Continuation and Maintenance Follow-Up Care for Children Prescribed ADHD Medication - Initiation Phase Frequency of HIV Disease Monitoring Lab Tests - CD4
Two checks Out of Three Possible Checks Two checks Out of Three Possible Checks Diamond means Not Measurable / Small Population Two checks Out of Three Possible Checks Diamond means Not Measurable / Small Population
Three Checks Out of Three Possible Checks Three Checks Out of Three Possible Checks Diamond means Not Measurable / Small Population Two checks Out of Three Possible Checks Two checks Out of Three Possible Checks
Diamond means Not Measurable / Small Population
Diamond means Not Measurable / Small Population
Diamond means Not Measurable / Small Population
Diamond means Not Measurable / Small Population
Diamond means Not Measurable / Small Population
Three Checks Out of Three Possible Checks Three Checks Out of Three Possible Checks Diamond means Not Measurable / Small Population Two checks Out of Three Possible Checks Two checks Out of Three Possible Checks
Two checks Out of Three Possible Checks Two checks Out of Three Possible Checks Diamond means Not Measurable / Small Population Two checks Out of Three Possible Checks Two checks Out of Three Possible Checks
Diamond means Not Measurable / Small Population Diamond means Not Measurable / Small Population Diamond means Not Measurable / Small Population Diamond means Not Measurable / Small Population Diamond means Not Measurable / Small Population
Two checks Out of Three Possible Checks Two checks Out of Three Possible Checks Diamond means Not Measurable / Small Population Two checks Out of Three Possible Checks Two checks Out of Three Possible Checks
Two checks Out of Three Possible Checks Two checks Out of Three Possible Checks Diamond means Not Measurable / Small Population Diamond means Not Measurable / Small Population Diamond means Not Measurable / Small Population
Two checks Out of Three Possible Checks Two checks Out of Three Possible Checks Diamond means Not Measurable / Small Population Diamond means Not Measurable / Small Population Diamond means Not Measurable / Small Population
Two checks Out of Three Possible Checks Three Checks Out of Three Possible Checks Diamond means Not Measurable / Small Population Diamond means Not Measurable / Small Population Two checks Out of Three Possible Checks
One Check One Check Diamond means Not Measurable / Small Population Diamond means Not Measurable / Small Population Two checks Out of Three Possible Checks
Two checks Out of Three Possible Checks Two checks Out of Three Possible Checks Diamond means Not Measurable / Small Population Two checks Out of Three Possible Checks Two checks Out of Three Possible Checks
One Check One Check Diamond means Not Measurable / Small Population Diamond means Not Measurable / Small Population Two checks Out of Three Possible Checks

Diamond means Not Measurable / Small Population- Not Measurable/Small Population Triangle means Not Reported - Not Reported Square means Not Applicable / Not Available - Not Applicable/Not Available
One Check- Three checkmarks represent the highest rank and one checkmark represents the lowest rank.

Plan Name Frequency of HIV Disease Monitoring Lab Tests - VL Highly Active Anti-Retroviral Treatment Immunization for Adolescents - Combination 1 Lead Screening in Children Lipid Profile Annually
Diamond means Not Measurable / Small Population Diamond means Not Measurable / Small Population Two checks Out of Three Possible Checks One Check Diamond means Not Measurable / Small Population
Two checks Out of Three Possible Checks Two checks Out of Three Possible Checks Two checks Out of Three Possible Checks Three Checks Out of Three Possible Checks Diamond means Not Measurable / Small Population
Diamond means Not Measurable / Small Population
Diamond means Not Measurable / Small Population
Diamond means Not Measurable / Small Population
Diamond means Not Measurable / Small Population
Diamond means Not Measurable / Small Population
Two checks Out of Three Possible Checks Two checks Out of Three Possible Checks Three Checks Out of Three Possible Checks Two checks Out of Three Possible Checks Square means Not Applicable / Not Available
Two checks Out of Three Possible Checks Two checks Out of Three Possible Checks Two checks Out of Three Possible Checks Two checks Out of Three Possible Checks Two checks Out of Three Possible Checks
Diamond means Not Measurable / Small Population Diamond means Not Measurable / Small Population Diamond means Not Measurable / Small Population Diamond means Not Measurable / Small Population Two checks Out of Three Possible Checks
Two checks Out of Three Possible Checks Two checks Out of Three Possible Checks Two checks Out of Three Possible Checks Three Checks Out of Three Possible Checks Two checks Out of Three Possible Checks
Diamond means Not Measurable / Small Population Diamond means Not Measurable / Small Population Diamond means Not Measurable / Small Population Diamond means Not Measurable / Small Population Diamond means Not Measurable / Small Population
Diamond means Not Measurable / Small Population Diamond means Not Measurable / Small Population Diamond means Not Measurable / Small Population Two checks Out of Three Possible Checks Diamond means Not Measurable / Small Population
Two checks Out of Three Possible Checks Two checks Out of Three Possible Checks Two checks Out of Three Possible Checks Two checks Out of Three Possible Checks Two checks Out of Three Possible Checks
Two checks Out of Three Possible Checks One Check One Check Two checks Out of Three Possible Checks One Check
Two checks Out of Three Possible Checks Diamond means Not Measurable / Small Population Two checks Out of Three Possible Checks One Check One Check
Two checks Out of Three Possible Checks Two checks Out of Three Possible Checks Diamond means Not Measurable / Small Population Diamond means Not Measurable / Small Population Two checks Out of Three Possible Checks

Diamond means Not Measurable / Small Population- Not Measurable/Small Population Triangle means Not Reported - Not Reported Square means Not Applicable / Not Available - Not Applicable/Not Available
One Check- Three checkmarks represent the highest rank and one checkmark represents the lowest rank.

Plan Name Persistence of Beta-Blocker Treatment After a Heart Attack Prenatal Care Prenatal Care Frequency - Greater than 81% of Visits Postpartum Care Readmission Rate
(Inverse Measure)		 Use of Angiotensin-Converting Enzyme (ACE) Inhibitors/ Angiotensin Receptor Blockers (ARB) Therapy
Diamond means Not Measurable / Small Population Two checks Out of Three Possible Checks Two checks Out of Three Possible Checks Two checks Out of Three Possible Checks Two checks Out of Three Possible Checks Diamond means Not Measurable / Small Population
Diamond means Not Measurable / Small Population Two checks Out of Three Possible Checks Three Checks Out of Three Possible Checks Two checks Out of Three Possible Checks Two checks Out of Three Possible Checks Two checks Out of Three Possible Checks
Diamond means Not Measurable / Small Population
Diamond means Not Measurable / Small Population
Diamond means Not Measurable / Small Population
Diamond means Not Measurable / Small Population
Diamond means Not Measurable / Small Population
Diamond means Not Measurable / Small Population
Square means Not Applicable / Not Available Diamond means Not Measurable / Small Population Diamond means Not Measurable / Small Population Diamond means Not Measurable / Small Population Two checks Out of Three Possible Checks Square means Not Applicable / Not Available
Diamond means Not Measurable / Small Population Two checks Out of Three Possible Checks Two checks Out of Three Possible Checks Two checks Out of Three Possible Checks Two checks Out of Three Possible Checks Two checks Out of Three Possible Checks
Diamond means Not Measurable / Small Population Diamond means Not Measurable / Small Population Diamond means Not Measurable / Small Population Diamond means Not Measurable / Small Population Diamond means Not Measurable / Small Population Diamond means Not Measurable / Small Population
Diamond means Not Measurable / Small Population Two checks Out of Three Possible Checks Two checks Out of Three Possible Checks Two checks Out of Three Possible Checks Two checks Out of Three Possible Checks Two checks Out of Three Possible Checks
Diamond means Not Measurable / Small Population Diamond means Not Measurable / Small Population Diamond means Not Measurable / Small Population Diamond means Not Measurable / Small Population One Check Diamond means Not Measurable / Small Population
Diamond means Not Measurable / Small Population Two checks Out of Three Possible Checks Two checks Out of Three Possible Checks Two checks Out of Three Possible Checks Two checks Out of Three Possible Checks Diamond means Not Measurable / Small Population
Diamond means Not Measurable / Small Population Two checks Out of Three Possible Checks Three Checks Out of Three Possible Checks Two checks Out of Three Possible Checks Two checks Out of Three Possible Checks Two checks Out of Three Possible Checks
Diamond means Not Measurable / Small Population Two checks Out of Three Possible Checks Two checks Out of Three Possible Checks Two checks Out of Three Possible Checks Two checks Out of Three Possible Checks One Check
Diamond means Not Measurable / Small Population Two checks Out of Three Possible Checks Two checks Out of Three Possible Checks Two checks Out of Three Possible Checks Two checks Out of Three Possible Checks Two checks Out of Three Possible Checks
Diamond means Not Measurable / Small Population Two checks Out of Three Possible Checks Two checks Out of Three Possible Checks Two checks Out of Three Possible Checks One Check Two checks Out of Three Possible Checks

Diamond means Not Measurable / Small Population- Not Measurable/Small Population Triangle means Not Reported - Not Reported Square means Not Applicable / Not Available - Not Applicable/Not Available
One Check- Three checkmarks represent the highest rank and one checkmark represents the lowest rank.

Plan Name Use of Appropriate Medications for People with Asthma - Total Well-Child 0 Visits (Inverse Measure) Well-Child 6+ Visits Well-Child Visits in the 3rd, 4th, 5th, 6th Years of Life
Access Health Diamond means Not Measurable / Small Population Two checks Out of Three Possible Checks One Check Diamond means Not Measurable / Small Population
Amerigroup Diamond means Not Measurable / Small Population Two checks Out of Three Possible Checks Two checks Out of Three Possible Checks Diamond means Not Measurable / Small Population
Better Health Diamond means Not Measurable / Small Population
Diamond means Not Measurable / Small Population
Diamond means Not Measurable / Small Population
Diamond means Not Measurable / Small Population
CMS Two checks Out of Three Possible Checks Diamond means Not Measurable / Small Population Diamond means Not Measurable / Small Population Two checks Out of Three Possible Checks
FCA Two checks Out of Three Possible Checks Two checks Out of Three Possible Checks Two checks Out of Three Possible Checks Two checks Out of Three Possible Checks
Freedom Diamond means Not Measurable / Small Population Diamond means Not Measurable / Small Population Diamond means Not Measurable / Small Population One Check
Humana Two checks Out of Three Possible Checks Two checks Out of Three Possible Checks Two checks Out of Three Possible Checks Two checks Out of Three Possible Checks
Molina Diamond means Not Measurable / Small Population Diamond means Not Measurable / Small Population Diamond means Not Measurable / Small Population Diamond means Not Measurable / Small Population
Preferred Diamond means Not Measurable / Small Population Diamond means Not Measurable / Small Population Diamond means Not Measurable / Small Population Diamond means Not Measurable / Small Population
SFCCN Two checks Out of Three Possible Checks Two checks Out of Three Possible Checks Three Checks Out of Three Possible Checks Two checks Out of Three Possible Checks
Total Diamond means Not Measurable / Small Population Two checks Out of Three Possible Checks Two checks Out of Three Possible Checks Two checks Out of Three Possible Checks
United Two checks Out of Three Possible Checks Two checks Out of Three Possible Checks Two checks Out of Three Possible Checks Two checks Out of Three Possible Checks
Universal Diamond means Not Measurable / Small Population One Check Two checks Out of Three Possible Checks One Check

Display of data: Scores

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Florida Medicaid Quality in Managed Care Home | Health Plans | Indicator Descriptions | Ratings/Scores

Reporting Medicaid Fraud