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Medicaid Managed Care Services Provider Reps

Medicaid Managed Care Services Provider Reps

The MMCS Provider Relations team is a diverse group of professionals, each with several years of managerial experience in clinics, hospitals, or both.

MMCS provider representatives visit PCP offices and other venues of care (such as hospitals, AHECs, and RHCs) to offer feedback and educational activities as needed to carry out quality utilization and improvement.

Each quarter, provider representatives visit PCPs with caseloads of more than 300 beneficiaries. Annual visits are made to all other PCPs. The representatives are in the field four days per week but regularly check and respond to voicemail.

In addition to PCP visits, provider representatives are available for general consultation on nonbilling Medicaid issues.

Meet the AFMC policy and education outreach specialists. (HTML, new window)