Health Plan Oversight and Management

States implementing capitated financial alignment demonstrations or managed long-term services and supports (MLTSS) programs will need to develop processes for health plan oversight and management. The success of integrated care programs depends on states’ ability to ensure that health plans implement the programs as intended, adhere to all program requirements, maintain access to a broad range of providers, and respond to feedback from the grievances/appeals processes. Use the links below to view resources related to health plan oversight and management: