Part I – BUSINESS ARCHITECTURE Appendix A – CONCEPT OF OPERATIONS DETAILS
Guidence for the section that describes the Medicaid Enterprise from a business perspective, identify the primary external entities (e.g., providers, beneficiaries, other payers), their roles, and the information they exchange, and depict the primary business processes (e.g., Member Management, Provider Management) performed by the Medicaid Enterprise in support of its interactions with external entities
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: February 01, 2012
DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.