Connecticut
Medicaid Managed Care Council
Legislative Office Building Room 3000, Hartford CT 06106
(860) 240-0321 Info Line (860) 240-8329 FAX (860) 240-8307
www. cga. state. ct. us/ph/medicaid

AGENDA

October 12, 2001

9: 30 AM

LOB RM 1D

1) Department of Social Services Report

· Managed Care Network Capacity Report

o Anthem BCFP: Assessment of Provider Networks (9/01 information Request)

· Timely Provider Payment Reports

· Update on Presumptive Eligibility

· MCO Reimbursement Process: Medical Admissions/ED Holds for Children With Primary Psychiatric Diagnosis

· HealthRight Claims/Withhold Resolution (9/01)

2) PROBH Payment Resolution: Health Net and FirstChoiceCT

3) Review of Council Quarterly Report, 3rd Q 2001

4) Subcommittee Updates:

a. Behavioral Health

b. Quality Assurance

c. Public Health