Out-of-network providers are the doctors and facilities that do not have a direct affiliation with your health insurance company. Out-of-network care, either through a physician visit or during an ...

Network adequacy standards in Medicaid managed care vary widely, with most states using time and distance criteria, but differing by provider type and geographic area. The 2020 Medicaid managed care ...

States have increasingly outsourced the provision of Medicaid services to private managed care plans. To ensure that plans maintain access to care, many states set network adequacy standards that ...

Quantitative Medicaid managed care network adequacy standards were not associated with improved mental health (MH) care access among adults and those with MH conditions. Objectives: Medicaid is the ...