Tag Archives: EPSDT

  • In New Jersey: As of July 1, 2011, there were 1,098,608 beneficiaries enrolled in the state’s Medicaid program, 853,645 of whom were enrolled four Medicaid-only MCOs (as of September 2014, five MCOs participate in the state’s Medicaid program). Physical, behavioral, and oral health benefits are provided to Medicaid beneficiaries through the state’s Family Care managed […]

    November 5, 2013 | Filed under: New Jersey
  • In Montana: As of July 1, 2011, there were 106,493 beneficiaries enrolled in Montana’s Medicaid program. Of these, 81,085 were enrolled in the state’s primary care case management program. Children are required to enroll a primary care case management program, Passport to Health. Passport to Health covers a number of services, including EPSDT, inpatient and […]

    November 5, 2013 | Filed under: Montana
  • In Mississippi: As of 2011, the state had 621,607 individuals enrolled in Medicaid. 541,854 of these individuals received non-emergency transportation services through a Prepaid Ambulatory Health Plan (PAHP). 51,626 of these individuals received services through Mississippi’s coordinated care program, Mississippi Coordinated Access Network (MississippiCAN) in 2011. Enrollment in MississippiCAN is limited to 45% of Medicaid […]

    November 5, 2013 | Filed under: Mississippi
  • In Maryland: As of July 1, 2011, there were 986,304 beneficiaries enrolled in Maryland’s Medicaid program. Of these, 735,859 were enrolled in managed care. Most Medicaid enrollees, including children, are eligible to receive physical health services through the state’s mandatory managed care program, HealthChoice. Groups ineligible for managed care include enrollees in the state’s Model […]

    November 5, 2013 | Filed under: Maryland
  • In Louisiana:   Medicaid services are delivered primarily through a primary care case management (PCCM) program called Bayou Health, which enrolls beneficiaries into one of five managed care Health Plans. Each of the five Health Plans that have contracts with Bayou Health to provide Medicaid services are accountable to the Louisiana Department of Health and […]

    November 5, 2013 | Filed under: Louisiana
  • In Iowa:   There were a total of 440,993 beneficiaries enrolled in Iowa Medicaid as of July 2011. Of these, 401,785 were enrolled in managed care. Physical health services are delivered through a primary care case management  (PCCM) system, known as the Medicaid Patient Access to Services System (MediPASS).  Children and adults who qualify for […]

    November 5, 2013 | Filed under: Iowa
  • In Colorado:   As of July 1, 2011, there were 583,618 beneficiaries enrolled in Colorado’s Medicaid program. Of these, 551,972 were enrolled in some form of managed care. While the state has a contract with a single comprehensive Medicaid-only managed care organization serving 46,962 beneficiaries, Colorado Medicaid has relied more heavily on primary care case […]

    November 5, 2013 | Filed under: Colorado
  • In California: As of July 1, 2011, there were 7,580,978 beneficiaries enrolled in the state’s Medicaid program, 4,553,090 of whom were enrolled in some form of managed care. Physical and outpatient mental health services are provided through a variety of regional managed care organizations (MCOs)–5 Health Insurance Organizations, 21 commercial MCOs, and 3 Medicaid-only MCOs. […]

    November 5, 2013 | Filed under: California
  • In Alabama: As of July 1, 2011, there were 930,736 beneficiaries enrolled in the state’s Medicaid program, 568,332 of whom were enrolled in the primary care case management program known as Patient 1st.   Physical, behavioral, and oral health services are provided through Patient 1st and reimbursed on a fee-for-service basis. Certain Medicaid populations are […]

    November 5, 2013 | Filed under: Alabama
  • In Minnesota:   As of July 1, 2011, there were 847,638 beneficiaries enrolled in Medical Assistance, Minnesota’s Medicaid program. Of these, 556,665 were enrolled in managed care. Children enrolled in Medical Assistance and who are certified disabled are not enrolled in managed care plans; instead, they receive services on a fee-for-service basis. Home and Community-Based […]

    November 4, 2013 | Filed under: Minnesota