What We Offer Our Physician Network
Health Choice Utah brings the expertise and road maps necessary to understand, participate in and maximize the value of the sweeping changes affecting the delivery of healthcare.
We offer real-time tools, technology and up-to-date information to our physicians and providers. We will assist and offer guidance to physicians and hospitals for the purpose of building partnerships in the form of Accountable Care Organizations , patient-centered medical homes and other entities that will maximize quality and reward performance.
Nc Medicaid Managed Care Exempt
Some beneficiaries can choose to stay in NC Medicaid Direct. This means you are not required to choose a health plan and a PCP. NCDHHS – Division of Health Benefits will send you a letter that tells you if you have the choice to enroll. You have the option to choose a health plan if you:
- Are a federally-recognized tribal member or individual eligible for services through Indian Health Service .
- Need certain services to address needs related to developmental disability, behavioral health or traumatic brain injury. BH covers MH and SUD
If you are transitioning to NC Medicaid Managed Care and want to keep the PCP you have now:
- Choose a health plan that your provider works with. If you have questions about the instructions in the letter you received ,
To find a doctor, go to Find a provider.
Are Video Visits With A Primary Care Doctor Online Covered By Community Health Choice
Most insurers provide coverage for video visits at the same cost as in-person visits. You can search on Zocdoc specifically for Doctors in Dallas who accept Community Health Choice for video visits by selecting your carrier and plan from the drop-down menu at the top of the page. We recommend you check with your insurance carrier directly to confirm your coverage and out of pocket costs for video visits.
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Unitedhealthcare Senior Care Options Plan
UnitedHealthcare SCO is a Coordinated Care plan with a Medicare contract and a contract with the Commonwealth of Massachusetts Medicaid program. Enrollment in the plan depends on the plans contract renewal with Medicare. This plan is a voluntary program that is available to anyone 65 and older who qualifies for MassHealth Standard and Original Medicare. If you have MassHealth Standard, but you do not qualify for Original Medicare, you may still be eligible to enroll in our MassHealth Senior Care Option plan and receive all of your MassHealth benefits through our SCO program.
Children’s Health Insurance Program Health Plans
Children in CHIP get services through a medical plan in their area. Some CHIP plans also offer services to mothers who are pregnant. This is called CHIP perinatal coverage.
You can see how well some CHIP health plans perform by looking at the CHIP health plan report cards.
To learn more about CHIP, visit the CHIP and Children’s Medicaid website.
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What Does Family Medicine Include
Family medicine is a broad medical specialty that offers families comprehensive care for a wide range of common concerns. While many doctors choose to focus on a narrow specialty in their careers as a doctor, family doctors provide total-body care. A family medicine doctor will be able to provide important insight and evaluation that can help you lead a healthier and happier life. Family medicine encompasses every part of your ongoing medical care, offering support for all the potential conditions you may face. Your family medicine provider will be able to offer you in-depth information regarding every facet of your health, from regular check-ups to specific questions regarding sensitive topics. Family doctors truly prioritize the whole patient and focus on creating strong relationships with those they treat, which fosters an environment where patients feel listened to and respected. Family doctors are trained to perform a wide variety of medical procedures including endoscopy, spirometry, suturing, and ultrasound imaging. They may even be able to perform vasectomies, colonoscopies, minor skin procedures, and well woman exams, making them the primary contact for nearly all of your medical needs. It is extremely important to find a medical provider you trust for ongoing care even when you require a specialist, your family doctor can help by referring you to a trusted doctor and coordinating your care to help streamline the entire process.
Unitedhealthcare Connected For Mycare Ohio
UnitedHealthcare Connected® for MyCare Ohio is a health plan that contracts with both Medicare and Ohio Medicaid to provide benefits of both programs to enrollees. If you have any problem reading or understanding this or any other UnitedHealthcare Connected® for MyCare Ohio information, please contact our Member Services at from 7 a.m. to 8 p.m. Monday through Friday for help at no cost to you.
Si tiene problemas para leer o comprender esta o cualquier otra documentación de UnitedHealthcare Connected® de MyCare Ohio , comuníquese con nuestro Departamento de Servicio al Cliente para obtener información adicional sin costo para usted al de lunes a viernes de 7 a.m. a 8 p.m. .
This is not a complete list. The benefit information is a brief summary, not a complete description of benefits. For more information contact the plan or read the Member Handbook. Limitations, copays, and restrictions may apply. For more information, call UnitedHealthcare Connected Member Services or read the UnitedHealthcare Connected Member Handbook. Benefits, List of Covered Drugs, pharmacy and provider networks and/or copayments may change from time to time throughout the year and on January 1 of each year.
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Reset Your Username And Password For The Portal
Many Community Health Choice insurance account holders forget their username or password during the Community Health Choice login period. For this solution to the issue, we have listed the following steps to reset your Community Health Choice login information:
Reset Steps For Community Health Choice Provider Login: The steps to reset your username or password on the Community Health Providers of Choice Portal are listed below:
- Visit www.communityhealthchoice.org.
At Health Choice Utah We Are Committed To A Collaborative Approach With Physicians Hospitals And All Other Providers In All Communities Throughout The State Of Utah
We believe our members deserve the highest quality medical care while being treated with both compassion and respect. Assisting you so that you can devote your time to providing quality patient care is one of our highest priorities. Our commitment to you is to support the doctor-patient relationship by streamlining the delivery of care.
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Nc Medicaid Managed Care Mandatory
To learn more about NC Medicaid Managed Care, go to the NC Medicaid Managed Care Website. Most beneficiaries receiving Medicaid or NC Health Choice will be required to transition to NC Medicaid Managed Care. This means you must choose a health plan and a Primary Care Provider . If you must choose, NCDHHS – Division of Health Benefits will send you a letter that tells you how to transition to Managed Care. You will be required to transition to NC Medicaid Managed Care if you:
- Receive full benefits through the Family and Childrens or the Aged, Blind and Disabled Medicaid programs, or through the NC Health Choice or Medicaid for Pregnant Women program.
If you are transitioning to NC Medicaid Managed Care and want to keep the PCP you have now:
- Choose a health plan that your provider works with. If you have questions about the instructions in the letter you received ,
To find a doctor, go to Find a provider.
Patient Reviews And Feedback
Dr. Asefi is a very patient and kind doctor, and his diagnosis is correct. At the same time, their secretary is very responsible and organized. I am really grateful
Yasna A.
Great medical office, wonderful and warm experience from start to finish. Appreciate Dr. Pashaei taking time to go over the diagnosis clearly and treatment options. Dr. Sepid is terrific. Knowledgeable, sensitive, informative. Highly recommended
Ilnaz M.
Very helpful pharmacist and amazing staff. Professional and very considerate about all patients. Dr. Sepideh Nasafat really helped me with my needs. Thank you.
Eli A.
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Chip And Children’s Medicaid Dental Services
Most children and teens with CHIP or Children’s Medicaid coverage get their dental services through a managed care dental plan. There are two dental plans to choose from.
Those with Medicaid who do not get their dental services through one of those two plans include:
- People with Medicaid age 21 and older.
- All people with Medicaid, regardless of their age, who live in facilities such as nursing homes, state supported living centers, or community-based Intermediate Care Facilities for Individuals with an Intellectual Disability or Related Conditions .
- Children and young adults in the state’s foster care program who get their dental services through STAR Health.
CHIP and Children’s Medicaid Dental Plans
Multicare Doctors Clinics And Services Are Covered
MultiCares Primary Care Physicians including OB/GYN and Pediatricians are included in your CHPW Apple Health plan. So are their 77 clinics throughout Washington including in Spokane Pierce, Thurston, and South King counties. And, MultiCare includes the Indigo Urgent Care Network, too.
Dont forget!
You can also go to a MultiCare location for covered services like Xrays, Lab work, Occupational Medicine, Sports Rehab, Behavioral Health and more.
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Who Is Eligible For Autism Benefits
Effective February 1, 2022, Autism Services, to include Applied Behavior Analysis evaluation and treatment, became a benefit of the Texas Health Steps-Comprehensive Care Program for Texas Medicaid recipients who are 20 years of age and younger and who meet the criteria outlined in the Autism Services benefit description. This benefit is not available for CHIP recipients.
Why Choose Community
As a local nonprofit health plan, Community Health Choice gives you plenty of reasons to join our Community. From the benefits and special programs we offer to the way our Member Services team helps you make the most of them, Community is always working life forward for you and your family.
I always tell people to choose Community Health Choice. I tell them its the best health insurance they will ever be with. Chandolyn
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How Does Star Work
Under the Medicaid Program, eligible Medicaid clients choose an HMO and a Primary Care Provider to provide all primary care services and to arrange for and coordinate referrals for all medically necessary specialty services.
For Childrens Medicaid, income levels that determine eligibility vary based on age and Medicaid program. Eligible participants for Medicaid for Pregnant Women must be at 185 percent of the Federal Poverty Level or lower. Childrens Medicaid covers a child up to his or her 21st birthday, and Medicaid for Pregnant Women covers a child-bearing woman of any age. Members must recertify every six months.
What Kind Of Services Are Covered
Services covered by Community Health Choice :
Covered Services
- Check membership eligibility.
- Inform the community and other appropriate entities.
- Provide at least 90 days of written notice of termination, retirement, or relocation to the community outside the service area.
- A member has the right to make decisions about their care if they cannot make those decisions when necessary.
- A Member has the right to make decisions about their treatment in the event that the Member is not able to make those decisions at the time they are needed.
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Nc Medicaid Managed Care Excluded
- Some beneficiaries will remain in NC Medicaid Direct, which is the fee-for-service program. This is how you receive health care services now. This means you cannot choose a health plan and you do not need to choose a new PCP unless you want to change to your current PCP. You will stay in NC Medicaid Direct if you:
- Receive Family Planning Medicaid, Refugee Medicaid, Foster Care/Adoption Medicaid , or must meet a deductible before getting Medicaid benefits
- Are part of the Health insurance premium payment or Program of all-inclusive care for the elderly programs, or
- Have both Medicare and Medicaid or receive long-stay nursing home services,
- Receive Innovations Waiver services, Traumatic Brain Injury Waiver services, or Community Alternatives Program for Children or Community Alternative Program for Disabled Adults services.
How Can I Find A Top
You can use Zocdoc to find Community Health Choice Doctors in Dallas who are highly rated by other patients. These ratings are based on verified reviews submitted by real patients. Every time a patient completes an appointment booked on Zocdoc, theyre invited to review their experience. Each review must comply with Zocdocs guidelines.
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See If You Need To Send Supporting Documentation
The Advanced Premium Tax Credit is a federal subsidy available to individuals and families who earn less than 400% of the Federal Poverty Level when enrolling in plans through the Health Insurance Marketplace. This subsidy helps to pay part of your health insurance premiums to make your insurance more affordable.
If you have been asked for supporting documentation by the Health Insurance Marketplace, send your supporting documents in to the Health Insurance Marketplace now. You have just 30 days from the day you enroll to show proof to the Centers for Medicare & Medicaid Services that you qualify for financial help with your premiums. It is important to send any missing documents or you will lose your eligibility for Marketplace coverage.
Texas Medicaid & Healthcare Partnership Notice
In addition to updating information with Community Health Choice, Providers must:
Update your enrollment and demographic information with TMHP . TMHP is HHSCs provider enrollment administrator and serves as the authoritative source for HHSC Providers enrollment and demographic information. Once you update your enrollment and demographic information with TMHP, your data will be reconciled with the demographic information on file with the MCOs.
To make updates to your current enrollment , please access the web page titled Provider Enrollment on the Portal A Step-by-Step Guide at the following URL:
For instructions on how to make other demographic updates to your current enrollment, please access the document titled Provider Information Management System User Guide at the following URL:
Otherwise, you can contact TMHP directly at 800-925-9126 for assistance.
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How Can I Book An Appointment Online With A Community Health Choice Primary Care Doctor In Dallas
Zocdoc is a free online service that helps patients find Community Health Choice Doctors in Dallas and book appointments instantly. You can search for Community Health Choice Doctors in Dallas by symptom or visit reason. Based on that information, youll see a list of providers who meet your search criteria, along with their available appointment slots.
Who Can Evaluate My Child
Your child can be evaluated by any of the following health care providers.
- A developmental pediatrician
- A licensed psychologist
- An interdisciplinary team composed of a physician, physician assistant or nurse practitioner in consultation with one or more providers who are qualified child specialists who have expertise in autism limited to:
- Any provider listed above
- Licensed specialist in school psychology
- Occupational therapist :
- Speech-language pathologist
To find a provider, visit our provider search page or call Member Services at 713.295.2294, or toll free at 1.888.760.2600.
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Unitedhealthcare Dual Complete Plans
Plans are insured through UnitedHealthcare Insurance Company or one of its affiliated companies, a Medicare Advantage organization with a Medicare contract and a contract with the State Medicaid Program. Enrollment in the plan depends on the plans contract renewal with Medicare. This plan is available to anyone who has both Medical Assistance from the State and Medicare. This information is not a complete description of benefits. Call TTY 711, or use your preferred relay service for more information. Limitations, co-payments, and restrictions may apply. Benefits, premiums and/or co-payments/co-insurance may change on January 1 of each year.
Carefirst Community Health Plan Maryland
CareFirst BlueCross BlueShield Community Health Plan Maryland is a Medicaid Managed Care Organization that participates in the Maryland HealthChoice Program. Carefirst CHPMD offers a health plan that combines personal attention with world-class healthcare. Benefits include over 7,000 healthcare providers in our network and excellent customer service. CareFirst CHPMD is committed to providing care to the region’s most vulnerable and diverse populations including children, the elderly and people living with disabilities.
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Dr. WeiYun Sun has been my family Doctor for about 8 years, she is a godsend and Awesome doctor! shes a very patient person who genuinely cares about her patients, she has helped me and my family so much with everything I have been through! and her staff, especially assistant named Cathy Guo is no different and will go the length to make sure all is well and organized. Cathy is amazing! she is always listening to patient and ready to offer any help and assistance. I always leave feeling so much better in every way they have done for me and my family! thank God, Im so glad I found them for my family!
