How do I change my MCO?

Requests to change your MCO must be sent in writing to: For more information, please call the Medicaid Member Services Call Center at 1-888-997-2583.

How do I change my Medicaid provider?

Call your state Medicaid office. Tell the operator that you want to change your Medicaid plan. Have your information ready before you make the call. You’ll need to be able to tell the operator your Medicaid ID number, the name of your current plan, and the name of the plan you want to switch to.

How do I change my managed care plan?

How to change your medical plan

1. If you are not happy with your medical plan, you can choose another medical plan, if available.
2. To change your medical plan, call Health Care Options at 1-800-430-4263 (TTY 1-800-430-7077).
3. Mail the completed choice form.
4. Health Care Options will send you a letter.

How do I change my Medicaid plan in Maryland?

If you applied for Medicaid through the Department of Human Services (DHS), you can choose an MCO and PCP in one of these ways:

1. Call Maryland Health Connection at 1-855-642-8572; or.
2. Complete the form you received in your enrollment toolkit and mail in.

How do I select a MCO?

To choose an MCO and enroll, go to the Enroll page. Or call the Managed Care HelpLine at 1-800-643-2273. For questions or help choosing an MCO, call the Managed Care HelpLine at 1-800-643-2273.

What is a MCO plan?

Medicaid managed care organizations (MCOs) provide comprehensive acute care and in some cases long-term services and supports to Medicaid beneficiaries. MCOs accept a set per member per month payment for these services and are at financial risk for the Medicaid services specified in their contracts.

Can you change insurance plans mid year?

Unfortunately, you may be stuck with your current plan until the next open enrollment period. But in some cases, you might qualify for what’s known as a “special enrollment period.” You may qualify for a mid-year policy change.

How long does it take to change your MCO?

Home > Medicaid > How do I enroll in or change my Medicaid Managed Care Organization (MCO)? If you are enrolling in Medicaid for the first time or if the state automatically assigned you to an MCO, you may change your MCO one time within 90 days.

What is an MCO provider?

Managed Care Organization (MCO) — a healthcare provider whose goal it is to provide appropriate, cost-effective medical treatment. Two types of these providers are the health maintenance organization (HMO) and the preferred provider organization (PPO).

How do I disenroll from MCO?

A client in the Recipient Restriction Program may disenroll from an MCO, but must immediately choose another primary care provider or MCO.

1. Give a client who wants to disenroll from an MCO the phone number of the Health Benefits and All Kids Hotline, 1-800-226-0768.
2. The Bureau of Contract Management disenrolls member(s).

How do I choose my MCO?

How to change your Managed Care Organization ( MCO )?

This process is for members who want to change their current MCO and are not within their 90 day timeline to change. If you have questions or need help with the process, contact Member Services at (800) 635-2570 from 8 a.m. – 5 p.m. ET Monday – Friday. 1. Before you request “Disenrollment for Cause”, contact your current MCO

Federal regulations allows members to change their MCO through a process called “Disenrollment for Cause”. This process is for members who want to change their current MCO and are not within their 90 day timeline to change.

How can I become a managed care provider?

Due to COVID-19, HCA’s lobby is closed. Learn more about your customer service options. This page contains information for Medicaid providers who wish to provide services for Apple Health (Medicaid) managed care clients. How can I become a managed care provider?

Can you change your health plan in Washington State?

Due to COVID-19, HCA’s lobby is closed. Learn more about your customer service options. Most Washington Apple Health (Medicaid) eligible individuals receive their coverage through a managed care plan. If you’re currently enrolled in an Apple Health managed care plan, you can switch to a different plan available in your area.