Tag Archives: Enrollment

  • In Wisconsin:   Most Medicaid services are delivered primarily through Medicaid Health Maintenance Organizations (HMOs). When families are enrolled in ForwardHealth (the state Medicaid program) they are also enrolled in an HMO. If there are multiple HMOs available in the area where the family resides they are able to select between them. Once families are […]

    December 5, 2013 | Filed under: Wisconsin
  • In Texas:   As of July 1, 2011, there were 3,943,189 beneficiaries enrolled in Texas’s Medicaid program. Of these, 2,786,985 were enrolled in managed care. Texas has multiple comprehensive Medicaid managed care programs. Its STAR program is mandatory for Medicaid-enrolled children in managed care service areas and covers physical, behavioral, and oral health services. A […]

    December 5, 2013 | Filed under: Texas
  • In Tennessee: All Medicaid services are delivered through TennCare, Tennessee’s Medicaid managed care program. TennCare is one of the oldest Medicaid managed care programs in the country and it enrolls the entire state Medicaid population in managed care. TennCare enrollees are assigned to one of the Medicaid-only Managed Care Organizations (MCOs) operating in the region […]

    December 5, 2013 | Filed under: Tennessee
  • In South Dakota: There were a total of 120,474 beneficiaries enrolled in South Dakota Medicaid as of July 2011. Of these, 91,268 were enrolled into the primary care case management system (PCCM) program, called the Provider and Recipient in Medicaid Efficiency Program (PRIME). South Dakota delivers physical health services through PRIME. Enrollment in the program […]

    December 5, 2013 | Filed under: South Dakota
  • In South Carolina:   As of July 1, 2011, there were 862,145 beneficiaries enrolled in the state’s Medicaid program. 428,765 beneficiaries are enrolled in four Medicaid-only managed care organizations (MCOs), while 142,296 beneficiaries are enrolled in a primary care case management program (PCCM) known as the Medical Homes Network. All Medicaid beneficiaries are also enrolled […]

    December 5, 2013 | Filed under: South Carolina
  • In North Dakota: Most Medicaid services are delivered through a primary care case management (PCCM) program, which serves as the Managed Care Program within the state. The PCCM program requires that most beneficiaries select a primary care provider (PCP) and requires all non-emergency based services to be received from the PCP, with other services (i.e. […]

    December 5, 2013 | Filed under: North Dakota
  • In New Hampshire   In July of 2011 there were a total of 135,092 beneficiaries enrolled in New Hampshire’s Medicaid program, with none of these beneficiaries enrolled in managed care. However, beginning on December 1, 2013, the state transitioned from fee-for-service to a Medicaid care management program under a Section 1932(a) State Plan Amendment. Physical […]

    December 5, 2013 | Filed under: New Hampshire
  • In Nevada: Physical health services are delivered through managed care organizations (MCOs) and on a fee-for-service basis.  The MCO program operates only in Clark County (Las Vegas) and urban Washoe County (Reno).  In these areas children and adults who qualify for Medicaid because they belong to an income-eligible family are required to enroll into one […]

    December 5, 2013 | Filed under: Nevada
  • In Nebraska There were a total of 237,484 beneficiaries enrolled in Nebraska’s Medicaid program as of July 2011. Of these, 202,189 were enrolled in managed care. Of these 100,972 were enrolled in an MCO; 7,282 were enrolled in a PCCM program. Also, 202, 189 received behavioral health services through a specialize managed care program. Beginning […]

    December 5, 2013 | Filed under: Nebraska
  • In Michigan:   As of July 1, 2011, there were 1,818,312 beneficiaries enrolled in the state’s Medicaid program, 1,606,688 of whom were enrolled in some form of managed care. The state has 14 Medicaid-only MCOs that provide physical health and outpatient mental health services.  Additional behavioral health services are provided to 1,606,688 beneficiaries through 18 […]

    December 5, 2013 | Filed under: Michigan