Establishing a Pay-for-Performance Contract Between a Legal Services Organization and a Medicaid Managed Care Organization
Description
Historically funded through philanthropy and healthcare contributions, medical-legal partnerships are increasingly exploring sustainable financing through Medicaid. This case study highlights a groundbreaking step forward: the first-ever pay-for-performance contract between a legal services organization and a Medicaid managed care organization (MCO).
In Washington, D.C., Children’s Law Center partnered with AmeriHealth Caritas DC to establish a reimbursement model for legal services delivered to Medicaid enrollees. This case study explores how the MLP demonstrated its value, the data strategies that supported the partnership, and how the model can be replicated in other states.
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This case study was published by the University of Kentucky, Children’s Law Center, and the National Center for Medical-Legal Partnership.
Acknowledgement
This case study is funded in part by the Gordon and Betty Moore Foundation and in part by The Kaiser Permanente Fund at East Bay Community Foundation.