Providers who contract with managed care organizations (MCOs) must provide care according to the MCO's policies and guidelines in order to:

Question

Quizplus · Accepted Answer

Providers who contract with MCOs must follow the MCO's policies and guidelines in order to be paid for the services they provide. Failure to do so may result in a denial of payment or a reduction in payment. Therefore, being paid for services provided is the main reason providers must adhere to MCO policies and guidelines.

Providers Who Contract with Managed Care Organizations (MCOs) Must Provide