Articles related to Regional Care Organizations


Rural Communities Vulnerable to Upcoming Medicaid Cuts Alabama has Most Restrictive Eligibilities in the U.S.
Rural Communities Vulnerable to Upcoming Medicaid Cuts Alabama has Most Restrictive Eligibilities in the U.S.

“It’s getting old,” says Donald J. Jones, FACHE, administrator for Fayette Medical Center, about the looming Medicaid shortfall recently decided by the Alabama legislature. Every year the cycle repeats, he says, and every year, the state finds a way. “But it feels different this year. I’m concerned.”

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Regional Care Organizations on Track to Take Over Medicaid
Regional Care Organizations on Track to Take Over Medicaid
In January, Alabama Medicaid named eleven organizations as probationary Regional Care Organizations (RCOs). By October of next year, the plan is for these nonprofit RCOs to manage the care of just over 600,000 qualifying Medicaid patients in the state.
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Summary of Alabama's Medicaid Care Management Programs

Alabama recently passed into law two separate bills to develop at-risk provider-driven Medicaid care management programs. The first bill, passed in 2013, created the Regional Care Organization (RCO) system. See Alabama Code § 22-6-150 et seq. This legislation was developed upon the recommendation of the Medicaid Study Commission, which was created by the Governor who appointed members representing a range of providers, insurers, consumer advocacy groups, and state government officials.

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