How It Works for Members Enrollment: Eligible individuals are automatically or actively enrolled in an MCO that serves their geographic area. Specialist Access: Referrals to specialists are typically handled by the MCO, streamlining the process for the member.
Chronic Disease Support in Kentucky Medicaid Managed Care Plans
Care Coordination: Members receive a member services card to access their MCO's customer support and network of providers. These organizations are held to rigorous performance standards regarding access, quality of care, and member satisfaction, creating a framework for accountability within the system.
What is Medicaid Managed Care? Medicaid managed care is a system where the state contracts with private insurance companies, known as managed care organizations (MCOs), to deliver Medicaid benefits. The emphasis on managed care encourages preventive visits and early intervention, which can lead to better health outcomes and reduce the need for more expensive emergency care over time.
Chronic Disease Support in Kentucky Medicaid Managed Care Plans
Benefits and Covered Services Under the managed care model, Kentucky Medicaid beneficiaries continue to have access to a comprehensive set of federal and state benefits. Understanding the specifics of your plan’s network, including whether your current doctors participate, is crucial for maximizing your benefits and avoiding unexpected bills.
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