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Blue Cross Nc’s Healthy Blue Plan Enrolls First Members Launches Statewide Provider Network As Medicaid Managed Care Begins

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DURHAM, N.C. Blue Cross and Blue Shield of North Carolina has enrolled its first members in Healthy Blue, its Medicaid managed care plan, and has developed a provider network with more than 48,000 physicians and other practitioners, including most of the states hospitals and health systems. The start of Healthy Blue enrollment is part of a significant milestone for North Carolina as the states Medicaid program transitions to managed care.

Blue Cross NC is one of five prepaid health plans that started enrolling members on March 15. Medicaid members will begin to receive health care services under the states Medicaid transformation program on July 1, 2021. The changes are designed to create a system of better-coordinated, high-quality care for Medicaid beneficiaries, while also offering additional community resources and bringing Medicaid budget predictability to the state.

Medicaid transformation gives more than 1.6 million North Carolinians the ability to choose a health plan, but its more than that. It increases resources to address drivers of health, such as food security and transportation, that impact health outcomes, said Fran Gary, senior vice president of Government Markets at Blue Cross NC. Blue Cross NC has designed Healthy Blue to help our Medicaid members get access to the health services and community resources they need to improve their health.

How Medicaid Managed Care Works

Healthy Blue Features

About Blue Cross and Blue Shield of North Carolina

Georgia Medicaid Replacement Card Number

If your Medicaid card was lost, stolen, or destroyed, you can ask for a replacement by contacting the Georgia Department of Community Healths Medicaid Member Services. You can reach them by phone at 1-866-211-0950.

For a complete list of all the available contact phone numbers for Georgia Medicaid, keep reading below.

Oregon Medicaid Health Experiment And Controversy

In 2008, Oregon decided to hold a randomized lottery for the provision of Medicaid insurance in which 10,000 lower-income people eligible for Medicaid were chosen by a randomized system. The lottery enabled studies to accurately measure the impact of health insurance on an individuals health and eliminate potential selection bias in the population enrolling in Medicaid.

A sequence of two high-profile studies by a team from the Massachusetts Institute of Technology and the Harvard School of Public Health found that Medicaid coverage generated no significant improvements in measured physical health outcomes in the first 2 years, but did increase use of health care services, raise rates of diabetes detection and management, lower rates of depression, and reduce financial strain.

The study found that in the first year:

  • Hospital use increased by 30% for those with insurance, with the length of hospital stays increasing by 30% and the number of procedures increasing by 45% for the population with insurance
  • Medicaid recipients proved more likely to seek preventive care. Women were 60% more likely to have mammograms and recipients overall were 20% more likely to have their cholesterol checked
  • In terms of self-reported health outcomes, having insurance was associated with an increased probability of reporting ones health as good, very good, or excellentâoverall, about 25% higher than the average
  • Donât Miss: Dentist In Little Rock That Accept Medicaid

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    How Can I Report Medicaid Fraud

    If you suspect a person or a doctor, clinic, hospital, home health service or any other kind of medical provider is committing Medicaid fraud or abuse, report it.

  • Call toll-free 1.800.488.2917 or 1-877-455-9955 for Provider Fraud complaints.
  • Call toll-free 1.888.342.6207 for Recipient Fraud complaints.
  • What If I Am Not A U S Citizen

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    To be eligible for Medicaid in Louisiana, you must be resident of Louisiana and either U.S. citizen or a non-citizen who is lawfully present in the U.S. Non-citizens can qualify for coverage for emergencies and labor and delivery services if income requirements are met.Medicaid and LaCHIP coverage may be available to children up to age 19 who are lawfully residing and are otherwise eligible.

    Also Check: South Carolina Medicaid Long Term Care

    What Are Essential Health Benefits

    Essential health benefits are a comprehensive package of items and services that all health plans must offer, including:

  • Ambulatory patient services
  • Mental health and substance use disorder services, including behavioral health treatment
  • Prescription drugs
  • Rehabilitative and habilitative services and devices
  • Laboratory services
  • Introducing Arkansas Total Care

    Arkansas Total Care is committed to providing whole health solutions for people with IDD and Behavioral Health needs. Our unique, person-centered approach ensures each individual receives comprehensive care coordination tailored specifically for them. With over 20 years of experience, the partners at Arkansas Total Care provide support services that collectively create healthier, happier individuals ultimately improving their overall quality of life.

    Do you need more information or have a question? Please reach out to our Member Support Services at 1-866-282-6280 or TTY: 711.

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    Member Services Contact Directory

    Iowa Medicaid Enterprise Member Services


    Services Offered:Fee-for-Service member inquiries * MCO choice counseling * Fee-for-Service billing issues * Provider search * Iowa Medicaid ID cards * Grievance and Appeals * Premium payments * Benefits informationContact Information:

    Hawki Member Services Contact Information


    Services Offered:For questions about the Hawki program or to apply for health insurance coverage for children under age 19 with family income up to 300% federal poverty level.Contact Information:

    Managed Care Organization Member Services Contact Information

    Services Offered:Member inquiries * Member enrollment * Billing issues * MCO provider search * MCO ID cards * Grievances and Appeals * Benefits information
    Contact Information:

    Non-Emergency Medical Transportation Service 1-866-572-7662

    Services Offered:Arrange transportation to a covered service * Learn how to get mileage, meals, or lodging reimbursement related to a medical appointment * Non-Emergency Medical Transportation provided through a transportation broker .Contact Information:525 SW 5th Street, Ste.E,Des Moines, IA 50309-4501
    New to Medicaid * Application questions * Application updatesContact Information:


    Services Offered:Updating personal identification information such as name, Social Security Number, and Date of Birth, etc. * Report address changes * Family Investment Program * Supplemental Nutrition Assistance Program Contact Information:

    How Do I Replace My Medicaid Id Card

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    Call Medicaid Customer Service at 1-888-342-6207 to request a new card or visit the online Medicaid Self-Service Portal. You can create an online account at any time. Until you receive your new card you should call your health care provider before your appointment to make sure they can verify your coverage.

    If you need a new Healthy Louisiana plan ID card, call the member services department for a replacement card.

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    Will Medicaid Provide Payment For A Family Member Who Needs Nursing Home Care

    Louisiana’s Medicaid Program provides payment for special long term care support services, as well as full Medicaid health coverage, to eligible people who, because of their medical condition, require assistance with activities of daily living . Long-term care supports may be provided either in a facility or in an individual’s own home or in the community. Visit Medicaid Long-Term Care.

    Were Here To Help You

    MCNA is dedicated to first-class customer service. We are here to help you if you have questions or need assistance.

    Many of the most common questions may already be answered for you! Save time by reading our Frequently Asked Questions for Members and Individuals or our Frequently Asked Questions for Providers and Dentists to see if your question has been answered.

    If you still need assistance, you may call, mail, or email us below.

    You may call MCNAâs Toll-Free Member Services Hotline from Monday to Friday, from 8 am to 8 pm EST . Our Automated Member Eligibility Hotline is available 24/7.

    The toll-free Member Hotline number for your plan is on your Member ID Card. If you do not have your Member ID Card, you can select your plan to see the Member Hotline number to call.

    To contact our corporate offices, you may call 1-800-494-6262. Please note this is not a Member Hotline. If you are an MCNA member, please dial the number on your Member ID Card. If you are calling about a current or former MCNA employee, please contact HR Direct at 1-800-561-0861.

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    What Is Blueprint Portal

    Blueprint Portal is a members-only website that will help you understand and manage your health plan so youre able to find quality, patient-focused healthcare at the best possible price.

    • Review claims history
    • Check deductible and out-of-pocket totals
    • View and order replacement ID cards
    • Find a doctor or hospital
    • Estimate treatment costs
    • Review a recent doctor visit

    Georgia Medicaid Home & Community Based Waiver Services

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    Medicaid Waiver Programs âMember Point of Contact â¢Each waiver has a distinct point of entry to access services EDWP services , contact your Area Agency on Aging for an assessment. The toll-free, statewide phone number is 866-55-AGING .

    URL: Go Now

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    Special Programs & Supports

    Vaya wants to help you and your family get and stay healthy. If you want to quit smoking or are a new mom who wants to learn more about how to best feed your baby, we can connect you with the right program for support.

    • Tobacco cessations services to help you stop smoking or using other tobacco products
    • Women, Infants and Children special supplemental nutrition program
    • Newborn screening program

    Some other great programs offered by Vaya Health are:

    System of Care Grant

    System of Care is a way of working with children and families based on the idea that families know their own strengths and needs best. SOC is not a service or a program it is a way of working together with children and families to achieve results that are important to them. Vaya was recently awarded a SOC Expansion and Sustainability Grant from the U.S. Substance Abuse and Mental Health Administration to expand services and access to care for children and youth with mental, behavioral, or emotional disorders and offer hands-on support to their families. This grant will allow us to help families:

    • Identify needs that are not being met
    • Connect with health care providers and community organizations
    • Understand resources available to help them reach their goals

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    Diabetes Help Is Here

    Some days, diabetes can feel overwhelming. Thats why we offer support and specialized resources to meet this challenge.

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    This information is not a complete description of benefits. Call Member Services at 776-4466 for more information.

    The Formulary, pharmacy network, and/or provider network may change at any time. You will receive notice when necessary.

    Blue Shield of California complies with applicable state laws and federal civil rights laws, and does not discriminate on the basis of race, color, national origin, ancestry, religion, sex, marital status, gender, gender identity, sexual orientation, age, or disability.

    Blue Shield of California cumple con las leyes estatales y las leyes federales de derechos civiles vigentes, y no discrimina por motivos de raza, color, país de origen, ascedencial, religión, sexo, estado civil, genero, identidad de genero, orientación sexual, edad ni discapacidad.Blue Shield of California

    for more information.

    Page last updated 2/24/2020

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    How Can I Find A Doctor That Accepts Medicaid

    For Healthy Louisiana plan members, contact the member services department with questions about how to access care.

    For information on dental benefits please contact your dental plan.

    For members enrolled with MCNA Dental call 1-855-702-6262 .

    For Legacy Medicaid members, call 1-877-455-9955 to find a specialist in your area.

    It is important to remember that not all doctors who are active in the Medicaid program are taking new patients. When you call for an appointment, be sure to ask if the doctor is taking new Medicaid patients.

    About The Des Moines Iowa Medicaid Office

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    The Des Moines Iowa Medicaid Office, located in Des Moines, IA, administers the Medicaid program and the Childrenâs Health Insurance Program , in Des Moines. Medicaid and CHIP are federally-funded health insurance programs for low-income individuals, families, and children. Medicaid also provides health insurance to high-risk populations, including people with disabilities and low-income elder care residents.

    You may contact the Medicaid Office for questions about:

    • Des Moines Medicaid benefits
    • Applying for Medicaid in Des Moines
    • Des Moines healthcare and prescription drug plans
    • Doctors and dentists that accept Medicaid in Des Moines, IA
    • Making an appointment

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    Apply For Medicaid In Iowa

    Apply online via the Iowa DHS site or Print an application in English or Spanish and mail it to Imaging Center 4 PO Box 2027 Cedar Rapids, Iowa 52406. Call 1-855-889-7985 to get help with your application.

    Eligibility: Children up to age 1 with family income up to 375% of FPL. Children ages 1 to 18 with family income up to 167% of FPL children with family income up to 302% of FPL may qualify for the hawk-i program. Pregnant women with family income up to 375% of FPL. Adults with family income up to 138% of FPL.

    How Do I Report An Address Change

    Call Medicaid Customer Service toll free at 1-888-342-6207 or go online by visiting the Medicaid Self-Service Portal to update your address.

    If you do not have an online account, you can create an account at any time. Creating an online account allows you to check the status of your application, report any household changes, report an address change, request a replacement Medicaid ID card, and renew your Medicaid benefits.

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    Caresource24 Nurse Advice Line

    Members can call CareSource24®, our Nurse Advice Line any time to talk with a caring, skilled nurse. This is a free call. You can call 24 hours a day, 7 days a week, 365 days a year. Our nurses can help you:

    • Learn about a health problem
    • Find out more about drugs or over-the-counter medications
    • Find out about health tests or surgery
    • Learn about healthy eating habits

    To reach the CareSource24® Nurse Advice Line, call .

    Georgias History With Medicaid Expansion

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    As of May 2020, 23% of Georgia residents were uninsured the state has the fourth highest uninsured rate in the U.S. Georgia is leaving billions of dollars on the table and over half a million people without Medicaid coverage by passing up federal funding to expand Medicaid.

    Two laws designed to make expansion difficult were enacted during the 2014 legislative session. HB 990 prohibits Medicaid expansion without legislative approval , while HB 943 prohibits state and local employees from advocating for Medicaid expansion.

    By the spring of 2016, Medicaid expansion began to seem within reach in Georgia, fueled in part by support from hospitals facing severe financial challenges. The state has raised Medicaid reimbursement rates for providers, including OB-GYNs in the state, in an effort to keep providers solvent and able to accept Medicaid patients. And Republican lawmakers began indicating that they might be open to a privatized version of Medicaid expansion, like the model used in Arkansas.

    However, there was no real progress on Medicaid expansion in Georgia until the partial expansion proposal was announced in 2019. Governor Brian Kemp, who took office in 2019, has been steadfastly opposed to full Medicaid expansion, although he views the Georgia Pathways program as a conservative compromise aimed at helping people who are working but not able to afford health coverage.

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    How Do I Find My Florida Medicaid Number

    Your Florida Medicaid identification number is not listed on your gold card. Your Florida Medicaid number is kept in your Florida Medicaid file.

    Any Medicaid provider can use your gold card or health plans membership card to check the Florida Medicaid file to find out if you are eligible for Florida Medicaid services.

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    Blue Cross and Blue Shield of North Carolina does not discriminate on the basis of race, color, national origin, sex, age or disability in its health programs and activities. Learn more about our non-discrimination policy and no-cost services available to you.

    Information in Other Languages

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    How To Check To See If I Have Active Medicaid In Georgia

    Medicaid is a government program that helps low-income Americans pay for healthcare. However, Medicaid eligibility and benefits vary by state, and its important to check your Medicaid status if you are planning to have some health expenses. Its also a good idea to check if your Medicaid benefits are active on a regular basis so you are prepared if there is a medical emergency. In the state of Georgia, there are several ways to check your Medicaid status.


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