This module will use a simulation to describe viewing the benefit plan list.
Adding Managed Care Contract Basic Information
This module will use a simulation to describe adding the basic information for an MC Contract.
Approving or Rejecting a Contract Addendum
This module will use a simulation to describe approving a contract addendum by providing the reason as the introduction of a new MC Program.
Approving a Managed Care Program
The module will first explain the approval process for an MC Program by providing the details of the role that approves MC Programs and the criteria they use. Then it will explain how to approve, reject, and undo the submitting of an MC Program with the help of simulations.
Viewing Managed Care Program Details
This module will describe how to view the details added at each step of adding an MC Program by using a simulation, that will walk the learners through all the steps, after the details have been added to an MC Program, and it is submitted for approval, or approved.
Modifying a Managed Care Program
This module will describe how to modify an MC Program by using a simulation.
Assessment: Setting up Managed Care Programs
Assessment
Managed Care Contracts: An Overview
This module will explain the purpose of an MC Contract. It will also describe the steps to set up an MC Contract by using an illustration.
Adding a Contract Addendum
This module will define a contract addendum and then demonstrate adding a contract addendum by using a simulation.
Adding Carved Out Reference Groups
This module will first explain what is meant by a carved out reference group, and then describe how to add the details of carved out reference groups by using a simulation. The module will also include a simulation on how to submit an MC Program.