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  Miscellaneous

 
FAQ Table of Contents

  1. What is the difference between MHN and MCO?



  2. Will DAODAS continue to be carved out of MHN option?



  3. School-based OT, PT, and ST are covered by fee-for-service. If the child receiving services has an MCO, how is their school-based therapy going to affect their eligibility for private therapy? Will there be a combined 75-visit limitation?



  4. If a recipient is in an MCO/MHN do you need something in writing to treat as non-Medicaid?



  5. Are the MCO's also like Medicaid, based on federal and state funding?



  6. What happens when a hospital does not particpate with any of the managed care plans?



  7. Where should a beneficiary call for assistance? (The DHHS case worker, the managed care plan, or Maximus.)



  8. Are MCO and MHN enrollees responsible for co-payments?



  9. Do children have to pay co-pays with managed care?



  10. What if the patient has a Third Party Insurance policy?



  11. Are materials available for Spanish speaking beneficiaries?



  12. Can members go across state lines to receive services?



  13. Who do I contact at DHHS for additional questions or information?



  14. Which counties do Managed Care companies serve?



  15. Which counties does the MHN program serve?


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