|
You live in the SOUTH WEST 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:
 AdamsBrown
Butler
Clermont
Clinton
Hamilton
Highland
Warren
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 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 West 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 July.
![]() MCP-Specific
Member Services Numbers |
AMERIGROUP
Ohio Inc. |
CARESOURCE |
Molina
HealthCare |
1-800-600-4441 |
1-800-488-0134 |
1-800-642-4168
|
| (TTY) 1-800-855-2880 |
(TTY) 1-800-750-0750 |
(TTY) 1-800-750-0750 |
Monday –
Friday
7:00 am – 7:00 pm
|
Monday –
Friday
7:00 am – 7:00 pm
|
Monday –
Friday
7:00 am – 7:00 pm
|
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 WEST 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.
AMERIGROUP
Ohio Inc. |
CARESOURCE |
Molina
HealthCare |
1-800-600-4441
(TTY 1-800-855-2880) |
1-800-488-0134
(TTY 1-800-750-0750)
|
1-800-642-4168
(TTY 1-800-750-0750)
|
|
Montgomery County
 Miami Valley Hospital
|
Montgomery County
Miami Valley Hospital
Grandview Hospital
|
Montgomery County
Miami Valley Hospital
Grandview Hospital
|
![]() 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 |
AMERIGROUP
Ohio, Inc.
|
|
|
|
CareSource |
|
|
|
Molina
HealthCare of Ohio
|
|
|
|
* 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 |
AMERIGROUP
Ohio, Inc.
|
15 roundtrips per member
per 12-month period to any health care appointment
|
48 hours
(2 business days)
|
CareSource |
15 roundtrips per member
per 12-month period to any health care appointment, CDJFS
re-determination and WIC appointments
|
48
hours
(2 business days) |
Molina
HealthCare of Ohio
|
15
round trips per member per 12-month period to any health care
or CDJFS re-determination appointment |
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?
-
Do you or any family member have a health
problem, which needs treatment by a specific type of doctor or Ssspecialist?
-
Do you have a hospital that you would like
to deliver your care?
-
Are you or any family member pregnant and
wanting to be under the care of a specific doctor?
-
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
|
