Most people are automatically selected for Medicaid Managed Care coverage. Shortly after you enroll on Medicaid, you will get a letter asking you to choose a Medicaid MCO. Visit each plan to learn more and find one that is right for you. If you don’t 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 Consumer Hotline . With help from the Consumer Hotline, 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 a 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 scope of coverage from your plan.
Managed Care works like regular private health insurance. Some services may require prior approval before you can receive them, or there may be limits for the number of services you can receive. Your MCO is available to answer your questions about coverage and help you find providers. You can file a grievance with your MCO, if you are dissatisfied with the MCOs services. You can also request an appeal from your MCO, in the event your pre-services request is denied. Contact your MCO Member Services Department for assistance.
