Designing and Implementing Medicaid Disease and Care Management Programs: Exhibit 3.1

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Exhibit 3.1. Care management population selection and enrollment process

Exhibit showing the care management population selection and enrollment process in three stages. For details, please go to [D] Test Description below.

[D] Text Description

This is an exhibit showing three separate processes in three separate text boxes in a horizontal row. The first text box has an arrow that points to the second text box, and the second text box has an arrow that points to the third text box.

Text Box 1

Selecting Eligible Population

Specific Diseases.
High-Risk Members.
"Population-Based" Approach.

Text Box 2

Identifying and Stratifying Members

Claims Data.
Risk Stratification.
Health Assessments.
Predictive Modeling.

Text Box 3

Enrolling Members

Opt-In vs. Opt-Out.
Outreach Materials.
Hospital Enrollment.
Coordination with Other Organizations.
Consumer Incentives.

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