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Question ID 17164

There are several approaches to the interagency division of responsibility for managed
care entity (MCE) oversight. In State M, the state Medicaid agency, the state department of
health, and the state insurance department are all responsible for ensuring that quality
improvement programs are in place among the same group of MCEs and that these
programs meet each agency's rules and regulations for such programs. This information
indicates that State M uses the approach known as the

Option A

 Parallel model

Explanation


Question ID 17165

There are several approaches to the interagency division of responsibility for managed
care entity (MCE) oversight. In State M, the state Medicaid agency, the state department of
health, and the state insurance department are all responsible for ensuring that quality
improvement programs are in place among the same group of MCEs and that these
programs meet each agency's rules and regulations for such programs. This information
indicates that State M uses the approach known as the

Option A

Parallel model

Option B

 Shared model

Option C

Concurrent model

Option D

 PACE model

Correct Answer C
Explanation

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