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. Author manuscript; available in PMC: 2022 Jun 27.
Published in final edited form as: Am J Manag Care. 2022 Jun;28(6):288–292. doi: 10.37765/ajmc.2022.89156
State Publicly available standards Provider to enrollee ratio Provider choice Timely access standards Time and distance standards Specialist standards Mental Health standards SUD standards Dental standards Rural/Urban or population-based standards Monitoring mechanism Enforcement details provided
Arkansas X X X X X X X X X
X Colorado X X X X
Massachusetts X X X X X X X
North Dakota X X X
Washington X X X X X X X X X
Arizona X X X X X X X X
California X X X X X X X X X X X
Delaware X X X X
District of Columbia X X X X X
Florida X X X X X X X X X
Georgia X X X X X X X
Hawaii X X X X X X X* X*
Illinois
Indiana X X X X X X X X
Iowa X X X X X X X
Kansas X X X X X X X
Kentucky X X X X X
Louisiana X X X X X X X X X X
Maryland X X X X X X X
Michigan X X X X X X X X
Minnesota X X X X X X
Mississippi X X X X X X X X X X
Missouri X X X
Nebraska X X X X X X X X X X
Nevada X X X X X X X X
New Hampshire X X X X X X X
New Jersey X X X X X X X*
New Mexico X X X X X X
New York X X X X*
Ohio X X
Oregon X X X X X X X X*
Pennsylvania X X X X
Rhode Island X X X X X X X
South Carolina X X X X X
Tennessee X X X X X X X X X X
Texas X X X X X X X X X
Utah X X X* X*
Virginia X X X X X
West Virginia X X X X X X X X X
Wisconsin X X X X X X X X

Note: Appendix Table A excludes 7 states (Alabama, Idaho, Maine, Montana, North Carolina, Oklahoma, South Dakota) with Primary Care Case Management (PCCM) only, and 4 states (Alaska, Connecticut, Vermont, and Wyoming) which had no comprehensive Medicaid managed care organizations (MCOs) at the time of data collection.

*

Network adequacy monitoring or enforcement activities delegated solely to individual health plans without Medicaid agency review or oversight described