HCA Solutions
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Medicaid Services

Medicaid Services

HCAS partners with Medicaid plans, including Coordinated Care Organizations (CCOs) to support the evaluation of reimbursement established by the state.  We communicate and work with state appointed actuaries on behalf of our clients.

Medicaid services include:

  • Review of state established rating methodologies
  • Validation of completeness of encounter data
  • Review of state established capitation rates and case rates
  • Evaluation of risk sharing methods
  • Review of state established risk scores