Choosing Your Managed Care Organization
Most people are automatically selected for Medicaid managed care coverage. Shortly after you enroll in Medicaid, you will get a letter asking you to choose a Medicaid MCO. Visit the websites below for each to learn more and find one that is right for you. If you dont choose a plan, we will choose one for you. You can change plans up to 90 days from your date of initial enrollment, or during our annual open enrollment period.
A helpful way to enroll in managed care is online through the Medicaid MCO Member Service Website. With help from the MCO Member Service, you can compare plans additional benefits and view plans provider networks. You may want to consider: what services you might need, which health plan is accepted by the doctors you use, which plan was found to meet the highest quality for your health care needs, and which extra benefits are most beneficial to you.
Once you are enrolled with an MCO, you will get a new card in the mail. MCOs send one permanent card when you enroll. Keep this card for as long as you are on the plan. If you need to replace your managed care ID card, please contact your MCO, or use their online member portal. The plan will also send you information on your doctors, health services, and the scope of coverage from your plan.
How Can I Find My Medicare Number Without My Card
Need your Medicare Number but dont have your Medicare card? No need to worry you have a few options for retrieving your Medicare Number.
If you forget to bring your card to an appointment with your doctor or healthcare provider, they may be able to look it up for you.
Lost or damaged Medicare cards can be easily replaced. Give Medicare a call at 1-800-633-4227 or log into your Medicare.gov account.
Choosing The Right Health Plan For You
Choosing a health plan is a personal decision. While we are confident that all health plans are able to meet your needs, you may want to consider the following points when choosing a plan:
Provider Networks: Each health plan includes a group of health care providers . This is called a “network” of providers. For most health care services, you must use the health care providers who are in your health plan.
Primary or Specialty Medical Providers: When you are enrolled in a managed care program, you will choose a Primary Medical Provider, often called a PMP. Your PMP will work with you and be your primary contact when making medical decisions. Your doctor will also make referrals and help you with prior authorizations for services that are not always covered by Medicaid.
If you already have a doctor or other primary or specialty medical provider, when choosing your health plan, you will want to make sure that provider is part of the health plan’s network. If you do not have one, your health plan will work with you to identify one. To find out if your doctor or other primary medical provider is part of the health plan’s network, you should call the help line listed below.
Locations: You may want to make sure that the plan you choose has providers that are conveniently located for you. This may mean they are near your work or your child’s school, or they may be on a bus line.
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Not Enrolled To Medicaid Heres How To Apply
If you have not yet enrolled yourself and/or your family, there are multiple methods you can use to enroll in Medicaid. Your first option is to enroll yourself and/or your family by going online and filling out an application for yourself and/or your family at the Health Insurance Marketplace. There you can follow the steps to create an account and provide your information such as whether or not you have a disability, your income level, and enroll any minor dependent children you have in health coverage programs such as the Childrens Health Insurance Program, otherwise known as CHIP.
Another method you can use to enroll in the Medicaid program is to directly contact your states Medicaid agency. You can find the agency contact information you need by visiting the Healthcare website. Scroll down to the state in which you reside, and you will be taken to the website of your local Medicaid agency. There you will be provided with telephone numbers for your local Medicaid agency which you can call during normal business hours in order to check if you and/or your family qualify for Medicaid.
Missed Or Canceled Appointments
When members do not show up for a scheduled appointment, it creates an unused appointment slot that could have been used for another member. It is very important to keep appointments and call the provider in advance if you cannot make it to a scheduled appointment. Medicaid providers cannot bill a member for no-show/missed appointments. However, a provider may discharge a member from their practice after so many no-show/missed appointments. The provider must have the same policy for Medicaid members as non-Medicaid members, and must notify Medicaid members that the policy exists.
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Do You Need More Help
If you arent sure if your Medicaid coverage has been approved yet or if it is still active, you can check Manage My Case or call the states Automated Voice Recognition System at 1-855-828-4995 with your Recipient Identification Number .
If you have an urgent medical need and need Medicaid quickly, call the DHS Helpline at 1-800-843-6150.
What Is My Medicare Number
Your Medicare Number is the 11 digit code on the front of your red, white, and blue Medicare card that Medicare uses to identify you. To help keep your personal information safe, your Medicare Number is no longer the same as your Social Security Number. Your Medicare Number is a unique combination of 11 letters and numbers.
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Get Important News & Updates
Sign up for email and/or text notices of Medicaid and other FSSA news, reminders, and other important information. When registering your email, check the category on the drop-down list to receive notices of Medicaid updates check other areas of interest on the drop-down list to receive notices for other types of FSSA updates.
What Is Medicaid Policy Number
Your Medicaid number also known as a recipient number or individual number is a 9-digit number than can be found on the Your Texas Benefits card. Doctors and pharmacies use this number for billing. Your case number can be found on letters you receive from HHSC or you may also request it from a rep at 211.
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How To Change A Doctor On Medicaid Plans
Below are the tips you can implement to change a doctor on Medicaid plans.
If you have moved to a different place, your first order of business is to contact your local Medicaid office in Texas and inform them of your address change within 10 days of moving. Log in to your YourTexasBenefits.com Account and update the address. If you dont have such an account, you should create it first and include your new address. Alternatively, you can call the Texas Medicaid client hotline at 800-252-8263 and ask for help.
If you want to make changes in person, find your nearest Social Security field office using the Locator tool and get the help you need. You could also visit your local Medicaid office if it is nearby.
Make changes to your plan if you need to and note the name of that plan. You will need to remember it when finding a compatible PCP.
To find another provider, search through the Texas Medicaid provider database on the Texas Medicaid and Healthcare Partnership website. Once you put in all the relevant details, such as your zip code and healthcare plan, and search using the primary care provider designation, it will provide you with the providers in your locale. You could also visit the website of your health plan provider and use their finder tool to search for compatible PCPs within their network.
When you visit the new PCP for the first time, ensure you are open about your medical history to make it easier for them to provide the care you need.
References
Recipients Should Consider The Following When Choosing A Managed Medical Assistance Plan:
- What services do I think I need? Hospital? Lab and Imaging?
- What plan do my doctors take?
- What kind of doctors do I need? Pediatrician? Family Doctor?
- What extra benefits meet my needs?
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What Does Mississippi Medicaid Card Look Like
The standard Medicaid ID card is blue, printed with the Medicaid logo and the beneficiarys name and ID number. Medicaid ID cards for members on the family planning waiver are yellow. You should always ask the provider if he or she accepts Mississippi Medicaid health benefits before you get services.
I Would Like To Change My Health Or Dental Plan
Change Health or Dental Plans Online
Log in to the FL Medicaid Member Portal to change your Health or Dental Plan. We will walk you through the process of changing your plan.
Why should you sign up for a FL Medicaid Member Portal account?
- You can check your Medicaid eligibility and enrollment status
- View and update your address
- Request help using secure messaging
- Enroll in a plan or change plans
- File complaint and see what is happening with your complaint
- Go paperless. Choose to only get letters from Medicaid electronically
- Receive email or text message alerts
Other Ways to Change Your Health or Dental Plan
If you are unable to change Health or Dental Plans online at this time, there are several other options available to you.
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How Does The Medically Needy Spend
Medically Needy provides Medicaid eligibility to qualified individuals and families who may have too much income to qualify for regular Medicaid programs. Individuals and families who meet all Medicaid program requirements, except that their income is above those program limits, can spend-down or reduce their income to Medicaid eligibility levels using incurred medical expenses.
Health Plan Report Cards
People across Texas shared their thoughts about their health plan, and rated them, one to five stars, on the services their plan provided. You can compare plans using the overall ratings or by looking at the services that matter the most for you and your family.
You can view the report cards on the Managed Care Report Cards page. Click the program you are enrolled in and find your service area to see plans available to you.
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Nc Medicaid Managed Care Started July 1 2021
NC Medicaid Managed Care health plans are now active. This means that you will now get care through your health plan. If you have questions about benefits and coverage, call your health plan. You can find the number on your new Medicaid ID card or visit .
You can also contact the NC Medicaid Ombudsman if you have questions or problems your health plan or provider could not answer. Call 1-877-201-3750 or visit ncmedicaidombudsman.org.
Meetings and events
You can schedule rides to medical appointments. Learn more about transportation services.
Get the free mobile app
To get the app, search for NC Medicaid Managed Care on or the App Store.
Use the app to find and view primary care providers and health plans for you and your family. Learn more about the free mobile app at .
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How Do I Find My Main Doctors Name And Phone Number Its Not On The Card Same With My Dentist How Do I Get This Information
- If you get your services through Medicaid medical or dental plans, you can get the name and phone number of your main doctor or dentist by calling your plan.
- If you donât know your planâs email address or phone number, call the number below. You also can get your planâs phone number and mailing address on YourTexasBenefits.com.
Phone
Note:
- If you are 20 or younger, youâll need to call your dental plan to find out about services or to get your dentistâs phone number and email address.
- If you are 21 or older, you donât have a Medicaid dental plan. For answers to questions about Medicaid dental services, call your Medicaid medical plan.
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Serving Mississippians In Need
The Mississippi Division of Medicaid serves a variety of Mississippi populations through three main coverage groups: Regular fee-for-service Medicaid, Medicaids coordinated care program MississippiCAN, and the Childrens Health Insurance Program .
DOM serves roughly one in four Mississippians who receive health benefits through Medicaid or CHIP.
For individuals who have qualified for Mississippi Medicaid benefits, the following links will provide more information regarding service copays, how to find a provider, reporting changes and more.
- Copay Information some medical services may require a copay or small fee
- Provider search search to locate a provider who accepts Mississippi Medicaid
- Envision website portal for Mississippi Medicaid beneficiary services
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Which Medicare Doctors Can You Choose
Your Medicare coverage impacts which new primary doctor you can select. Here are the options for the various parts of Medicare and Medicaid:
- Original Medicare : You may choose any doctor who accepts Medicare patients. Compare doctors and their specialties through the official Medicare.gov physician comparison tool.
- Medicaid: You may select any doctor who accepts Medicaid patients. Call the clinic or your states Medicaid office to confirm whether your preferred doctor qualifies.
- Medicare Advantage health maintenance organization plans: If you have a Medicare Advantage HMO plan, you can typically opt for any doctor within your plans network. Your plan should publish a list of available doctors online, or you could request a hard copy.
- Medicare Advantage preferred provider organization plan: If you have a Medicare Advantage PPO plan, you may be able to choose any doctor accepting Medicare patients. However, you typically save money if you change to a doctor who is part of the plan network. There should be a list of these network doctors online, or available as a hard copy.
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Changing Plan In The First 90
Once you enroll in the Medicaid program, you will be given an introductory booklet from your local Medicaid office. As you open and read the booklet, you will see the different plans that you could choose.
You may either choose by yourself or your local Medicaid office will choose the plan for you based on the personal details you provided when you signed up. Since you are a new member, there are times that you are not knowledgeable enough about the program therefore, you end up choosing the plan, which is not right for your needs, or the initial plan chosen by the Medicaid office does not suit your needs.
Fortunately, as a new member of the Medicaid program, you are still free to change your plan within the first 90-day trial. Here are the steps on how to do it:
Online Vs. Visit local Medicaid office
Well, in switching Medicaid healthcare plans, you may do it online or you may call your local Medicaid office to set you an appointment. Either ways are effective methods in changing your local Medicaid healthcare plan.
Changing your Medicaid Plan Online
The easiest and most convenient way to change your Medicaid healthcare plan is to do it online since most states offer online accounts for Medicaid members. You may also change your plan through Healthcare.gov if you have signed up there initially.
- Set up your online account by visiting your local Medicaid website.
- You need to provide your Social Security card number and then your Medicaid ID number.
Original Medicare And Medicaid
Find the doctors near where you live who accept new Medicare or Medicaid patients, including their office locations and specialties. You can visit the Federation of State Medical Boards to check the doctors credentials and if they have any actions against them.
To change doctors:
- Find a qualifying doctor who is accepting new Medicare or Medicaid patients.
- Contact the doctors practice and confirm they are accepting new Medicare or Medicaid patients.
- Make an initial appointment with your new doctor and transfer your care to them.
For seamless continuation of care, it may be recommended to see the same doctor at each appointment. However, Medicare beneficiaries arent required to select primary doctors. Because of this freedom of choice, theres no need to notify Medicare or Medicaid if you change doctors.
You also dont need to notify your former doctor of your decision to leave, although you may like to. However, its prudent to check if your new doctors office obtains your medical records or if that is your responsibility.
If they do not provide this service, you should see your previous doctor to request these records and have a health status check before moving to a new doctor.
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