Plan First Medicaid Doctors List


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Information and resources for caregivers.

As a Keystone First Community HealthChoices Participant, you have a network of committed health care providers ready to take care of you. Your providers are your partners in care.

Use the tools below to find health care providers in the Keystone First CHC network.

How To Choose A Health Plan

When picking a plan, think about the following:

  • Are doctors you already use and like covered by the plan?
  • How is the plan rated on issues that are important to you and your family?
  • What value-added services are available through the plan?

We also provide tools to help you choose the best plan for you and your family.

Benefit And Coverage Limitations

Plan First services are provided by enrolled DMAS providers. DMAS currently reimburses enrolled providers for limited family planning services provided to eligible Plan First members. The services are reimbursed on a fee-for-service basis and are provided under the same administrative structure as Medicaid state plan benefits except with limited family planning covered services. Eligibility should always be verified prior to rendering services to any Medicaid member so the provider is aware of which program the member is enrolled.

The following services are covered under Plan First only when provided in accordance with the limitations and requirements specified.

Plan First covers routine and periodic family planning office visits including:

  • Annual physical exams for family planning purposes only, including exams for men and women
  • Cervical cancer screening for women
  • Laboratory services for family planning and Sexually Transmitted Infection testing
  • Family planning education and counseling
  • Sterilization procedures*
  • Most Food and Drug Administration approved birth control methods provided by a clinician or obtained with a prescription** and
  • Non-Emergency Transportation, if needed, which is limited to travel to and from a family planning service or pharmacy to obtain prescribed contraception. Please contact the Non-Emergency Medical Transportation Broker at 866-386-8331 to set up transportation or gas reimbursement to Plan First appointments.

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Texas Health Steps Program

Through outreach,Texas Health Steps staff, or contractors encourage STAR Members to use Texas Health Steps preventive medical checkup services when they first become eligible for Medicaid/Texas Health Steps and when they are periodically due for their yearly medical checkup in their birthday month.

On request by the client, the Medical Transportation Program assists the client with scheduling transportation. Refer to the MTP section on page 23 of this Provider Manual for more detailed information.

Texas Health Steps medical providers must perform medical checkups on any client who is currently enrolled in Medicaid and who are ages of birth through 20 years of age. Providers also are encouraged to notify the client when he or she is due for the next medical checkup according to the Texas Health Steps Periodicity Schedule.

Note: Newly enrolled STAR Members must receive a Texas Health Steps medical checkup within 60 days from enrollment.

Provider Training Schedule

To register for training sessions, please call 358-6030 or email .

Free online provider education is available, and many include Continuing Education credits. Check out the online options offered by Texas Health and Human Services Commission .

For additional information visit Health & Human Services.

How To Find A Health First Colorado Doctor

Medicaid Providers
  • To find a doctor or other medical provider who accepts Health First Colorado , first select Find Doctors from the Department of Health Care Policy & Financing home page or select Find Doctors & Other Providers at
  • You’ll see that at the top you can make selections to narrow down your search results. The list of providers will appear in the box just below.
  • You can enter a street address, city, or zip code where you’d like to begin your search. You can also click Find Me to have your approximate location entered automatically.Below that you can specify the radius of your search, or how far you’re willing to travel.
  • In addition to location you can select a provider type or specialty to narrow your search. And if you’re looking for a specific doctor you can enter any part of their name in the Find Providers By Name box.
  • As you search the results shown below will list each provider’s name, medical specialty, street address, and phone number.
  • As you search, the map updates automatically to show only the results of your current search. Clicking on any pin on the map brings up information about that provider.
  • Remember that you should always check with the individual provider to find out if they’re accepting new Health First Colorado patients. If you need additional help please call or email the Health First Colorado Member Contact Center.

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Virginia Department Of Health Family Planning Clinics

The Virginia Family Planning Program provides women and men with the ability to decide if they want to have children and if so, how many and how far apart they want to space them. The Family Planning Clinics provide a broad range of acceptable and effective family planning birth control methods and services. All services are confidential. The Family Planning Clinics are providers for Plan First and may also offer additional services which are affordable and provided at low or no cost based on an individuals income. A Family Planning Clinic is available in every city and county health department in the state. For more information about Family Planning Clinics or to locate a local clinic, please visit the Virginia Department of Health website at .

Medicaid Family Planning Services

  • How do I get Medicaid Family Planning Services? If you have Medicaid managed care in New York State, you can go to any provider inside or outside your health plan for family planning and reproductive health services, as long as that provider accepts Medicaid and offers the services you need.
  • Do I need prior approval from my health plan or regular doctor? No. You do not need a referral from your primary care provider or anyone else in your health plan to see any family planning provider inside or outside your plan that offers these services and accepts Medicaid.
  • What kind of services can I get? You have free and confidential access to:
    • all types of birth control: pills, condoms, diaphragms, IUDs, Depo Provera, Norplant, and contraceptive foams
    • emergency contraception
    • sterilization
    • testing and treatment for sexually transmitted diseases including colposcopy, cryotherapy and LEEP *
    • HIV testing and pre test and post test counseling *
    • Pap smears testing for cervical cancer, pelvic problems, breast disease, anemia, and high blood pressure *
    • abortion.
    • *As part of a family planning visit

  • If I am under 18 years of age, can I still get these services? Yes. When making the appointment, ask if the doctor or clinic will see someone your age.
  • Can I get tested for HIV outside my plan? Yes. You can go to any Medicaid provider for HIV testing and counseling, as part of a family planning visit.
  • Will my services be confidential? Yes. All services are confidential.
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    Pharmacy Point Of Sale Transactions

    DMAS covers prescription contraceptives for a maximum 34-day supply of medication per prescription per member in accordance with the prescribers orders and subject to Board of Pharmacy regulations and the DMAS Pharmacy Preferred Drug List . For prescription orders whose quantity exceeds a 34-day supply, refills may be dispensed in sufficient quantity to fulfill the prescription order within the limits of federal and state laws and regulations. Other medications will not be covered for members who are in Plan First. Plan First utilizes the same policy of contraceptive coverage as fee-for-service Medicaid. Please refer to the DMAS Pharmacy Provider Manual for additional information. A copy of the Pharmacy Provider Manual is available on the DMAS website at, under Provider Services. Please note that there are specific National Drug Codes which are covered through point of sale pharmacy and may change on a regular basis. For more information about Medicaid covered NDCs please follow up with a local pharmacist.

    Find A Health Care Provider

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    As a First Choice VIP Care Plus member, you have a dedicated network of providers ready to take care of you. Your providers are our partners in care. We work as a team to take care of you and your family.

    Our Online Provider Directory helps you search online for these network providers. If the online directory is not available, you can always get a print version of the directory by clicking on “” below, or by calling Member Services at 1-888-978-0862 , 8 a.m. to 8 p.m., seven days a week.

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    For Healthy Indiana Plan Hoosier Healthwise Or Hoosier Care Connect Members:

    Please remember that if you are enrolled in the Healthy Indiana Plan , Hoosier Healthwise, or Hoosier Care Connect, you will need to choose a Primary Medical Provider within your health plan.

    If you are looking for a specialist and are in a managed health plan, you may need a referral from your PMP before Medicaid will pay for certain services. Please check with your PMP or your health plan before seeking additional services.

    If you have questions, you should contact your health plan directly. You can find the phone numbers for each health plan on the Contact Us page.

    Use the links on the right hand side of the screen to locate providers based upon your health plan.

    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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    For Traditional Medicaid Members:

    If you are new to Indiana Medicaid, use our provider search to determine whether your current provider participates in the Medicaid program. If your provider is listed, you should contact him or her ahead of time to see if he or she is accepting new patients. If you don’t have a provider, you can search by zip code to find a provider near you.

    Some doctors no longer participate in the Medicaid program. If you cannot find your doctor, you can check the list of terminated Medicaid providers.

    Find A Counselor Or Therapist:

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    The provider directory is updated daily. If you find an update missing, or an error, request a change at .

    If you or your child needs mental health or substance abuse services or would like to change his/her therapist, call Behavioral Healthcare Options at 1-800-873-2246. You can also call the mental health hotline at 702-364-1484 or toll-free at 1-800-873-2246.

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