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You live in the SOUTH
EAST REGION!
This means that the managed care plans (MCPs),
the hospitals that contract with them, and the extra services
and benefits the MCPs offer that are described here are available
to eligible individuals residing in the following counties:
 Athens
Belmont
Coshocton
Galia
Guernsey
HarrisonJackson
Jefferson
Lawrence Meigs
MonroeMorgan
Muskingum
Noble
Vinton
Washington
Eligible individuals include you and/or members
of your family who receive health care benefits through the Ohio
Medicaid Covered Families and Children or Healthy Start, Healthy
Families programs.
Please take the time to read all the information
about the MCPs available to you. This information can help you
choose the MCP that is best for you and your family. To learn
about the doctors that are part of the plan or to ask questions
about the MCP, you can call (toll-free) the Member Services line
for each plan listed below.
Also Please Take a moment
to read
this important Consumer Guide, which will provide you with
a deeper understanding of Managed Care.
|
 MCP-Specific
Member Services Numbers
MCP
Contracting Hospitals in South East Region
Additional
Services and Extra Benefits
Transportation
Questions
to ask when Choosing your Managed Care Plan
|
![]() Open Enrollment |
As a member of a Medicaid managed care plan, you have the option to change
the plan that you have selected within the first three months of your membership
or annually, thereafter, during your region's open enrollment month, which is August.
![]() MCP-Specific
Member Services Numbers |
CARESOURCE |
MOLINA
Health Care |
Unison
Health Plan |
1-800-488-0134 |
1-800-642-4168 |
1-800-895-2017
|
| (TTY) 1-800-750-0750
|
(TTY) 1-800-750-0750
|
(TTY) 1-888-616-0021 |
Monday –
Friday
7:00 am – 7:00 pm
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Monday –
Friday
7:00 am – 7:00 pm
|
Monday –
Friday
7:00 am – 7:00 pm
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You also can call Managed Care Enrollment Center
toll-free at 1-800-605-3040,
or if you
are hearing impaired (TTY) 1-800-292-3572
Monday – Friday 8:00 AM to 8:00 pm.
An enrollment counselor can answer your questions and discuss your options.
You can even make your choice right over the phone.
En Espanol 1-800-605-3040
![]() MCP-Contracting
Hospitals in SOUTH EAST REGION |
MCPs may have more hospitals in other counties on their
provider panel. Please contact the MCPs toll-free number for a current
list of all panel hospitals in your area. Remember that doctors can
only perform surgeries or deliver babies at certain hospitals, so be
sure to ask your doctor which hospital he/she can send you to.
CARESOURCE
|
Molina
Health Care |
Unison
Health Plan |
1-800-488-0134
(TTY 1-800-750-0750)
|
1-800-642-4168
(TTY 1-800-750-0750)
|
1-800-895-2017
(TTY) 1-888-616-0021 |
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OUT OF REGION
HOSPITALS
Franklin
County
Children Hospital
OUT OF STATE HOSPITALS
Ohio Valley Medical Center
Pleasant Valley Hospital
Wheeling Hospital
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OUT OF REGION
HOSPITALS
Franklin
County
Children Hospital
OUT OF STATE HOSPITALS
Kings Daughters Medical Center
Ohio Valley Medical Center
Pleasant Valley Hospital
Wheeling Hospital
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OUT OF REGION HOSPITALS
Franklin
County
Childrens Hospital
Ross
County
Adena Regional Medical Center
OUT OF STATE HOSPITALS
Bon Secour Health System
Kings Daughters Medical Center
Ohio Valley Medical Center
Wheeling Hospitals
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![]() Additional
Services and Extra Benefits |
Some MCPs provide more services and benefits than the
regular Medicaid fee-for-service (FFS) program offers. For a complete
list of additional services and benefits offered by an MCP, please call
the MCP’s toll-free number. Following are examples for each MCP.
Health
Care Plan |
Annual
Eye Exams for Adults* |
Gift
Certificates for Obtaining Prenatal Care |
Gifts/Gift
Certificates for Getting Immunizations and/or Keeping Healthchek
Appointments |
CareSource
|
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|
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Molina HealthCare of Ohio |
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|
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Unison
Health Plan
|
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|
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* All MCPs provide annual
eye exams for children.
![]() Transportation |
Some
MCPs offer transportation assistance in addition to what may be available
through your local CDJFS. You must contact the MCP’s Member Services
to arrange for transportation.
Health
Care Plan |
Cab
Fare/ Shuttle Service |
Must
Call MCP in Advances |
CareSource
|
15 round-trips per member
per 12-month period to any health care appointment, CDJFS re-determination
and WIC appointments.
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48 hours
(2 business days)
|
Molina HealthCare of Ohio |
15 round-trips per member
per 12-month period to any health-care, WIC and/or CDJFS re-determination
appointments
|
48
hours
(2 business days) |
Unison
Health Plan
|
15
round-trips per member per 12-month period to any health care
or CDJFS redetermination appointments |
48
hours
(2 business days) |
![]() Questions
to Ask when choosing Your Managed Care Plan.. |
To help you choose the Managed Care Plan or
MCP that is right for you, think about the following questions while
also reading the information included in this mailing.
After you have considered the questions below,
call the Ohio Medicaid Managed Care
Managed Care Enrollment Center (MCEC) at 1-800-605-3040
to speak to an Enrollment Counselor or visit them on-line at
www.ohiomcec.com. The MCEC will answer any questions you have and help
you select the Managed Care Plan of your choice.
-
Do you or any family member have a doctor
that you want to deliver your care?
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Do you or any family member have a health
problem, which needs treatment by a specific type of doctor or Ssspecialist?
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Do you have a hospital that you would like
to deliver your care?
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Are you or any family member pregnant and
wanting to be under the care of a specific doctor?
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Do you or any member of your family need
help with transportation to the doctor?
Remember, when you receive a notice in the
mail that tells you it is time to choose your managed care plan (MCP),
simply call the Managed Care Enrollment Center at the toll-free number
below to choose your MCP. If YOU do not choose, an MCP will be chosen
for you.
For Help in answering
your questions…
Call 1-800-605-3040 to speak to an Enrollment Counselor or
visit us on-line at www.ohiomcec.com
En Español: 1-800-605-3040
![]() Ohio
Managed Care Enrollment Center |
Call
to speak with an Enrollment Counselor
Monday - Friday
8:00 a.m. to 8:00 p.m.
(800) 605-3040
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