South Carolina Case Study Cross Puzzle

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Across
  1. 3. – Need for school districts to meet MCO standards for service delivery.
  2. 9. Pooling – Sharing resources between districts and providers for service delivery.
  3. 10. Billing Model – System where school districts billed Medicaid directly for services.
  4. 11. Meetings – Coordinated sessions involving all stakeholders to discuss challenges.
  5. 12. Burden – Added workload for school districts to meet new requirements.
  6. 13. Relationships – Long-term partnerships between stakeholders for service quality.
  7. 17. – Payment made to providers for services covered under Medicaid.
  8. 19. Reimbursed Behavioral Health Services – Mental and behavioral health services covered by Medicaid.
  9. 20. Health Services – Services addressing mental health and behavioral needs.
Down
  1. 1. Forms – Forms developed to streamline contracting, billing, and documentation.
  2. 2. Care Organizations – Health plans that provide Medicaid services through a network.
  3. 3. – Verifying provider qualifications to deliver care within MCO’s network.
  4. 4. Model – System where services are integrated within managed care contracts.
  5. 5. Providers – External health providers that partner with school districts.
  6. 6. Carolina Department of Health and Human Services – State agency managing Medicaid and health programs.
  7. 7. Authorization – Approval from MCO required before delivering certain services.
  8. 8. Education Agencies – School districts providing educational and related services to students.
  9. 14. Integration in Schools – Embedding health services within educational settings for student well-being.
  10. 15. – Groups involved in the transition, including MCOs, school districts, and agencies.
  11. 16. Terms and Clues
  12. 18. Systems – Processes by which services are invoiced and paid.