Local Management Entity-Managed Care Organization (LME-MCO) Performance Summary

The Local Management Entity-Managed Care Organization (LME-MCO) Performance Summary is a monthly report which gives an overview of the administrative functions of the LME-MCOs. It includes self-report data from the LME-MCOs, and includes items such as the timeliness of answering calls, service authorization processing, claims processing, and complaint resolution. Other data elements include the number of persons waiting for services with Intellectual/Developmental Disorders, rates of inpatient hospitalization, and utilization of emergency departments by Medicaid members for behavioral health disorders. It is intended to give a snapshot of the most recently available month, and includes data regarding the administration of Medicaid services and Non-Medicaid services.

SFY 2019-2020

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