What is the term for Medicaid services that are included in managed care plans?

The term "carve-in" is used to describe Medicaid services that are included within managed care plans. This concept signifies that specific services, typically covered by Medicaid, are not separated from the managed care plan but rather integrated into it. The integration allows for a more cohesive management of care and streamlined services for beneficiaries.

In the context of managed care, the focus is on the delivery of comprehensive services under one plan, which can improve care coordination and potentially lead to better health outcomes. This approach reflects a strategy to ensure that beneficiaries receive all their Medicaid services—which may include preventive, primary, and specialty care—through a single care provider or network.

The term "carve-out," in contrast, refers to services that are explicitly excluded from the managed care plan and are handled separately. This would mean certain services are delivered outside the managed care structure, which can lead to fragmentation of care.

Managed Medicaid generally refers to the overall structure of Medicaid services that are provided via managed care, rather than to a specific arrangement of services. Bundled services are a payment model where multiple related services are billed together, often used in various healthcare contexts, rather than specifically relating to how Medicaid services are organized under managed care plans.