Tag Archives: Enrollment

  • In Maine:   As of July 1, 2011, there were 357,706 beneficiaries enrolled in MaineCare, the state’s Medicaid program. Of these, 176,335 were enrolled in a primary care case management (PCCM) program, including 130,824 children. The PCCM program is mandatory for Medicaid beneficiaries receiving TANF, children, pregnant women, and childless adults below 100% FPL. Medicaid-eligible […]

    December 5, 2013 | Filed under: Maine
  • In Kentucky: As of July 1, 2011, there were 823,133 beneficiaries enrolled in Kentucky Medicaid. Of these, 735,978 were enrolled in managed care. All Medicaid managed care beneficiaries were also enrolled in a Transportation Prepaid Ambulatory Health Plan (PAHP). Medicaid beneficiaries who are in nursing homes or waiver programs do not receive managed care services […]

    December 5, 2013 | Filed under: Kentucky
  • In Kansas: Medicaid services are delivered on a managed care basis, and KanCare (Kansas Medicaid) members are assigned to one of three managed care organizations (MCOs). Kansas operates KanCare through a Section 1115 Waiver, which was approved in 2012, and went into effect in January 2013. The KanCare MCOs provide most Medicaid services and are […]

    December 5, 2013 | Filed under: Kansas
  • In Indiana: As of July 1, 2011, there were 1,055,779 beneficiaries enrolled in the state’s Medicaid program, 741,744 of whom were enrolled in managed care through one of six commercial managed care organizations (MCOs) or a primary care case management program. Physical and behavioral health benefits are delivered through MCOs. Dental benefits are carved out […]

    December 5, 2013 | Filed under: Indiana
  • In Illinois:   Physical health services are delivered through Illinois Health Connect, a primary care case management (PCCM) system, as well as voluntary managed care organizations (MCOs) in some areas of the state. Children and adults who are income-eligible for Medicaid are required to enroll in Illinois Health Connect, but if they live in one […]

    December 5, 2013 | Filed under: Illinois
  • In Idaho:   There were a total of 230,725 beneficiaries enrolled in Idaho Medicaid as of July 2011, 100% of whom were enrolled in Healthy Connections, Idaho’s mandatory Primary Care Case Management Program. Physical Medicaid services are delivered through Healthy Connections. While inpatient and outpatient behavioral health services have been covered under Healthy Connections, on […]

    December 5, 2013 | Filed under: Idaho
  • In Hawaii:   As of July 1, 2011, there were 272,218 beneficiaries enrolled in Hawaii Medicaid. Of these, 268,645 were enrolled in one of four commercial managed care organizations (MCOs) or one Medicaid-only MCO under a managed care program known as Hawaii QUEST. QUEST provides medical and mental health services. Dental services are provided on […]

    December 5, 2013 | Filed under: Hawaii
  • In Georgia: As of July 1, 2011, there were 1,548,090 beneficiaries enrolled in Georgia’s Medicaid program. Of these, 1,413,643 were enrolled in managed care. Managed care organizations (called Care Management Organizations in Georgia, or CMOs) are responsible for providing physical health, mental health, and substance abuse benefits to most Medicaid enrollees, including children. A Home […]

    December 5, 2013 | Filed under: Georgia
  • In Florida: As of July 1, 2011, there were 3,069,456 beneficiaries enrolled in the state’s Medicaid program, 1,958,679 of whom were enrolled in some form of managed care. 22 commercial managed care organizations (MCOs) and 6 Medicaid-only MCOs provide physical, behavioral, and oral health services to Medicaid beneficiaries. For beneficiaries in counties not served by […]

    December 5, 2013 | Filed under: Florida
  • In Connecticut:   As of January 1, 2012, the state uses an administrative services organization model in which an entity is contracted to administer the Medicaid program and coordinate services, though claims are submitted to the Department of Social Services on a fee-for-service basis. There were a total of 578,620 child and adult beneficiaries enrolled […]

    December 5, 2013 | Filed under: Connecticut