MANAGED CARE Helen Jaco, Director of Managed Care MANAGED CARE Helen Jaco, Director of Managed Care

MANAGED CARE Helen Jaco, Director of Managed Care - PowerPoint Presentation

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Uploaded On 2018-11-03

MANAGED CARE Helen Jaco, Director of Managed Care - PPT Presentation

MO HealthNet Oversight Committee May 16 2017 DSS Communication Efforts 2 3 DSS Communication Efforts Consumer Advisory Committee CAC 4 CAC began in 1995 at the inception of Managed Care ID: 711969

managed care state health care managed health state amp support missouri program benefits healthnet cac united healthcare members additional




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MANAGED CAREHelen Jaco, Director of Managed CareMO HealthNet Oversight Committee May 16, 2017Slide2

DSS Communication Efforts2Slide3

3 DSS Communication EffortsSlide4

Consumer Advisory Committee (CAC)4CAC began in 1995 at the inception of Managed CareThe CAC mission is to empower members to be actively involved in their healthcare CAC is a vehicle for providing consumer input to the MO HealthNet Managed Care ProgramCAC partnered to present a community meeting in Taneyville (30 attendees) in March 2017.CAC intends to create and support local CACs throughout state led by consumer members Slide5

Market Share Report Prior to May 1st5Slide6

Current Market Share Report6Slide7

Enrollment Stats7Slide8

Transition of Care8To ensure smooth transition of care for members during the extension of Managed Care Statewide the MO HealthNet Division conducted weekly conference calls in April and daily calls during the first two weeks in May with Missouri Care, United Healthcare, Home State Health, Aetna Better Health of Missouri and the MO HealthNet team (Managed Care, Evidence-Based Decision Support Unit, MMIS, Finance, Clinical Services, etc.) Daily conference calls were conducted with Missouri Care, United Healthcare & Home State Health during the first two weeks in May.May 8th – Truman State Holiday – Offices remained opened Enrollment Broker Participant ServicesManaged Care Health PlansManaged Care Unit Slide9

Inquires Regarding May 1st Extension9Participants How do I change my doctor? How do I change my Managed Care Health Plan?What are the benefits included in Managed Care?How do I update the authorized representative on file? ProvidersWho is eligible for Managed Care?How to enroll as a Managed Care provider?How long does it take to be credentialed with the Managed Care Health Plans?What happens if I am not contracted with a Managed Care Health Plan, how do I get reimbursed for services provided?Behavioral Health coverageSlide10

Additional Benefits – Missouri Care10After School Clubs Program Child Birth & Breastfeeding ClassesDiabetes CampDiabetic Foot CareElectric Breast PumpMaternity ProgramVisual Impairment Camp Maternity Support Hose & Support Belts

Peak Flow Meters ProgramEnhanced Transportation Program

Curve Complete Program

Weight Watchers


Additional Benefits – United HealthCare11Hypoallergenic AssistanceChiropracticJOIN for MEOn My WayYouth Membership ProgramAirwazePeer Support SpecialistSlide12

Additional Benefits – Home State Health12After School Youth ProgramBaby Shower for MomsEnhanced & Same Day TransportationMobile Texting & ConnectionsPlus Phone ProgramPuffletown