Explainers

Provider-Led Entities

March 6, 2019

Contact

Craig Wilson, JD, MPA
Director, Health Policy
501-526-2244
cwilson@achi.net

 

Provider-Led entities, or Provider-led Arkansas Shared Savings Entities (PASSEs), are organized care for Medicaid populations with intellectual or developmental disabilities (IDD) or severe or persistent behavioral health needs. The model aims to integrate care for beneficiaries by connecting primary care, specialty behavioral health, and IDD providers.

This fact sheet explains the features of PASSEs and details their oversight by state agencies.

 

Citations

[1] Act 775 of 2017 of the 91st Arkansas General Assembly, also known as the “Medicaid Provider-Led Organized Care Act.” Signed into law by Arkansas Governor Asa Hutchinson on March 31, 2017.

[1] Arkansas Foundation for Medical Care. “PASSE: Getting to know the PASSE system.” September  17, 2018. https://afmc.org/health-care-professionals/arkansas-medicaid-providers/policy-and-education/webinars/getting-to-know-passe-sept-2018/

[1] Arkansas Department of Human Services. Provider-Led Arkansas Shared Savings Entity (PASSE) Proposed Attribution Model Background Paper. June 27, 2017. https://humanservices.arkansas.gov/images/uploads/procurement/PASSE_Proposed_Attribution_Model.pdf

[1] Medicaid.gov. https://www.medicaid.gov/Medicaid-CHIP-Program-Information/By-Topics/Waivers/Downloads/AR_Provider-Led-Care-Coordination-Program_AR-07.pdf

[1] Arkansas Department of Human Services, Division of Medical Services. Provider-Led Arkansas Shared Savings Entity (PASSE) Program — 1915(b) waiver. 2017. http://170.94.37.152/REGS/016.06.17-017F-17410.pdf

[1] Arkansas Insurance Department. Provider-Led Organization Licensure Standards. Rule 117.  https://insurance.arkansas.gov/uploads/pages/rule117_provider-led_organization_licensure_standards.pdf