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Tuscarora Managed Care Alliance outlines Medicaid behavioral-health role, service counts for Franklin County
Summary
TMCA Executive Director Missy Weilman briefed commissioners on the county’s role in the Medicaid Behavioral Health Choices program, describing TMCA’s organization, service types, reinvestment rules and local service counts including 39,056 Medicaid enrollees in Franklin County and that about 45% of children are covered by Medicaid.
Missy Weilman, executive director of Tuscarora Managed Care Alliance, presented an overview of TMCA’s role as the counties’ contractor for Pennsylvania’s Medicaid Behavioral Health Choices program at the May 1 Franklin County commissioners meeting.
TMCA, Weilman said, is a component unit of Franklin County and acts as the local, capitated manager for behavioral health services. "We are a % at risk. We receive a monthly capitated payment, which is a set amount for each enrolled person to pay for all behavioral health services provided to that population," Weilman said, explaining the capitation model.
Weilman walked commissioners through…
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