Star Medicaid Find A Doctor

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.

Star Medicaid Managed Care Program

Most people who have Medicaid in Texas get their coverage through the STAR managed care program. STAR covers low-income children, pregnant women and families. STAR members get their services through health plans they choose.

If you’re new to STAR, you’ll choose a health plan from the ones available in your service area . Learn more about how to choose or change your health plan.

State Of Texas Access Reform Managed Care Program

Community provides both Childrens Medicaid and Medicaid for Pregnant Women. These programs are at no cost to U.S. residents who cannot afford health insurance.

Childrens Medicaid Childrens Medicaid covers a child up through the month of his or her 21st birthday. Income determines eligibility. That income level is different based on age and Medicaid program. Members must recertify every year.

Medicaid for Pregnant Women Medicaid for Pregnant Women covers a childbearing woman of any age. Members must be at 185% or lower of the Federal Poverty Level . Members must recertify every year.

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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.

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.

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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.

Where Can I Find A Doctor That Accepts Medicare And Medicaid

To find a doctor that accepts Medicare payments, you may want to visit the Centers for Medicare and Medicaid Services’ Physician Compare. You can search by entering a health care professionals last name or group practice name, a medical specialty, a medical condition, a body part, or an organ system. This tool will provide you with a list of professionals or group practices in the specialty and geographic area you specify, along with detailed profiles, maps and driving directions.

Please note that Physician Compare only lists professionals that accept Medicare. Although some may also accept Medicaid, it does not have information about which professionals do accept Medicaid.

Medicaid programs vary by state and each state Medicaid agency maintains their own list of professionals that accept Medicaid. For further assistance, please contact your health plan or state Medicaid agency. For more information about Medicaid, visit the Medicaid & CHIP page on Healthcare.gov.

If you have trouble accessing the Physician Compare website, please call 1-800-MEDICARE and a representative will be able to run the search for you. They can also send you a print version of the search results.

There are other directories on MedlinePlus that will help you find health professionals, services, and facilities, some of which may serve Medicare or Medicaid payments.

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Not Sure What Type Of Provider You Need

Use our provider search tool to find quality data, services offered, and other information for these type of providers:

Nursing homes

Get detailed information about every Medicare-certified nursing home in the country. A nursing home is a place for people who cant be cared for at home and need 24-hour nursing care. Find nursing homes by location and compare the quality of care they give.

Hospitals

Find and compare hospitals that offer services like medical, surgical, and psychiatric care. Use the Hospital type” filter to find special facilities, like acute care, critical access, childrens hospitals, and more.

Doctors & clinicians

Find a doctor or clinician that accepts Medicare near you, or compare doctors who are qualified to practice in many specialties.

Home health services

Home health care describes a wide range of health care services that you can be get in your home at less expense than a hospital or skilled nursing facility. Compare home health agencies using the patient survey star ratings or the quality of patient care star rating.

Hospice care

Hospice agencies most often give services where you live, whether you’re at home, an assisted living facility, or a nursing home. Find hospices that serve your area and compare them based on the quality of care they give.

Inpatient rehabilitation facilities

Long-term care hospitals

Dialysis facilities

Medical supplies & equipment

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.

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Accessing Care: Medicaid And Chip Members

To choose a doctor or Primary Care Provider , call Superior Member Services. They can give you the name, address and phone number of a doctor or specialist. They can also help you get a provider’s:

• Professional qualifications

More information on how to choose a PCP can be found in your member handbook.

To find out which nursing facilities are in Superior’s network, you can call us at 1-877-277-9772 or search our Find a Provider online tool.

If you are a STAR Kids or STAR+PLUS member and are dual eligible, Medicare pays your doctor. That means you do not need to choose a PCP in STAR Kids or STAR+PLUS. You can keep seeing the Medicare doctor you have been seeing for your health care.

Do You Qualify For Texas Star

Thinking about becoming a Community Health Choice Member? Here are some quick facts about the Medicaid Program and Community Health Choice to get you started.

Important: The state of Texas has automatically extended CHIP and STAR Medicaid benefits since the federal government issued a public health emergency due to the COVID-19 epidemic.

Visit our public health emergency site for more information.

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Find & Compare Health Care Providers

Select the button below to find and compare nursing homes, hospitals, doctors, and other health care providers in your area that accept Medicare. Get information like:

• Quality ratings for local nursing homes and home health agencies
• Estimate of doctors’ costs in your area
• Dialysis facilities and hospitals near you
• Contact information for local inpatient rehabilitation centers

In Our Provider Directory

• – covers Appanoose, Benton, Boone, Butler, Cerro Gordo, Dallas, Davis, Floyd, Franklin, Grundy, Hardin, Iowa, Jasper, Jefferson, Keokuk, Lucas, Mahaska, Marion, Marshall, Mitchell, Monroe, Polk, Poweshiek, Story, Tama, Van Buren, Wapello, Warren, Wayne, Worth counties.

• – covers Allamakee, Black Hawk, Bremer, Buchanan, Cedar, Chickasaw, Clayton, Clinton, Delaware, Des Moines, Dubuque, Fayette, Henry, Howard, Jackson, Johnson, Jones, Lee, Linn, Louisa, Muscatine, Scott, Washington, Winneshiek counties.

• – covers Adair, Adams, Audubon, Buena Vista, Calhoun, Carroll, Cass, Cherokee, Clarke, Clay, Crawford, Decatur, Dickinson, Emmet, Fremont, Greene, Guthrie, Hamilton, Hancock, Harrison, Humboldt, Ida, Kossuth, Lyon, Madison, Mills, Monona, Montgomery, OBrien, Osceola, Page, Palo Alto, Plymouth, Pocahontas, Pottawattamie, Ringgold, Sac, Shelby, Sioux, Taylor, Union, Webster, Winnebago, Woodbury, Wright counties.

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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.

Filing Claims For Managed Care Services

Claims for services administered by a medical or dental plan must be submitted to the plan. Providers may submit managed care claims by the following:

• Submit acute, long term services or dental claims directly to the appropriate medical or dental plan using the methods established by the plan.
• Submit acute care or dental claims electronically to TMHP for routing to the appropriate medical or dental plan.

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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.

I’m Looking For A Doctor Or Facility

The providers in this search are in-network. To ensure you are choosing an in plan provider when choosing a facility location, please be sure to hover over the map on the left of the screen and review the providers covered for that particular facility. Please note, not all providers at your selected facility may be participating, therefore ensure the provider you are looking for is listed in the map dropdown as you may be responsible for the cost of services provided by facility where a provider is not listed. To find an in-network doctor or facility near you, choose a Network Health plan type from the drop down below. If you receive services from an in-network doctor working at a facility not listed in this search, you may be responsible for the cost of those services. If you’re a member and you’re not already signed in, go to to sign in to your member portal account for the most accurate results.

Choosing a Primary Care Provider or Personal Doctor

You will need to choose one of our network providers listed in this directory to be your Primary Care Provider, also known as your personal doctor. Generally, you will get your health care services from your personal doctor. You will choose from one of the following practices:

• Family Practice

If you need assistance selecting a personal doctor, please call 800-769-3186.

Finding a Specialist

The Right to Choose Your Doctor

Provider-Owned to Provide Outstanding Care

High-Performing Provider Networks

How We Validate Information

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Add Your Favorite Providers

Keep a list of all your favorite providers Select the button above to find and compare providers. Then, select the heart icon next to any of the providers to add them to your list of favorites.

If youre not already logged into your Medicare account, a window will pop up for you to log into your secure Medicare account. Once youre logged in, the provider will either automatically add to your favorites, or, if youre adding a favorite doctor or clinician, you can select the box to make this provider your primary clinician, select the location you use, and then Add to Favorites.

Texas Healthy Women Program

Lost your Medicaid benefits? The Texas Healthy Women Program provides family planning exams, related health assessments, and birth control to women ages 18 to 44 whose family income is at or below the programs income limits . of poverty).

You must apply to find out if you can receive services through this program. Visit this site for more information.

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Unitedhealthcare Connected General Benefit Disclaimer

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.

You can get this document for free in other formats, such as large print, braille, or audio. Call Member Services, 8 a.m. – 8 p.m., local time, Monday – Friday . The call is free.

You can call Member Services and ask us to make a note in our system that you would like materials in Spanish, large print, braille, or audio now and in the future.

Language Line is available for all in-network providers.

Puede obtener este documento de forma gratuita en otros formatos, como letra de imprenta grande, braille o audio. Llame al Servicios para los miembros, de 08:00 a. m. a 08:00 p. m., hora local, de lunes a viernes correo de voz disponible las 24 horas del día,/los 7 días de la semana). La llamada es gratuita.

Puede llamar a Servicios para Miembros y pedirnos que registremos en nuestro sistema que le gustaría recibir documentos en español, en letra de imprenta grande, braille o audio, ahora y en el futuro.

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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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

What Is Autism

Autism Spectrum Disorder is a developmental disorder that affects communication and behavior. It is characterized by restricted, repetitive patterns of behavior, interests, or activities and deficits in social communication and social interaction, with onset of symptoms occurring in early childhood.

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