Many uninsured health center patients will reap the benefits of the Affordable Care Act by enrolling in health insurance in 2014. Health centers who hope to continue serving newly insured patients will need to negotiate contracts with managed care plans in both Medi-Cal and in the Exchange. CPCA has collected and created a variety of tools to help CCHCs in the managed care contracting process.
Sample Participating Physician Group Agreement – Anthem Blue Cross
Independent Physician and Provider Agreement (Blue Shield)
NACHC Exchange Contracting Checklist (March 26, 2013)
NACHC Exchange Contracting Checklist Overview Presentation pdf presentation slides (April 12, 2013)
Providers & Health Insurance Exchanges: Contracting and Other Implications for the New Marketplace pdf presentation slides (ECG Management, April 18, 2013)
Premium Tax Credits: Beyond the Basics pdf webinar slides (Center on Budget and Policy Priorities, May 22, 2013)
Covered California Health Plans booklet (May 23, 2013)
If you have any questions, please contact Meaghan McCamman, Assistant Director of Policy, at firstname.lastname@example.org.