AHM-530 Exam Dumps : Network Management

Vicarious liability / employees of the health plan

Vicarious liability / independent contractors

Risk sharing / employees of the health plan

Risk sharing / independent contractors

Provides the lowest level of cost for the health plan

Most closely represents what pharmacies are actually charged for prescription drugs

Offers the best control over multiple-source pharmaceutical products

Is the least expensive pricing system for the health plan to implement

To keep Medicaid enrollment costs as low as possible, states typically prohibit the use of third-party entities known as enrollment brokers to handle the recruitment and enrollment of Medicaid recipients in health plan plans

Primary care case managers (PCCMs) are individuals who contract with a state's Medicaid agency to provide primary care services mainly to urban areas.

Typically, Medicaid beneficiaries must be given a choice between at least two health plan entities.

Medicaid health plan entities are responsible for providing primary coverage for all dually-eligible beneficiaries.