Central Region

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 May.

MCP-Specific Member Services Numbers

CareSource	Molina HealthCare of Ohio
1-800-993-0780	1-866-408-9501
(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

You can also call the 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

Central Region MCP-Contracting Hospitals

MCPs may have more hospitals in other counties on their provider panel. Please contact the MCP’s toll-free number for a current list of all panel hospitals in your area. Remember that doctors can only admit you to certain hospitals, so be sure to ask your doctor which hospital he/she can send you to

CareSource	Molina HealthCare of Ohio
1-800-993-0780 (TTY) 1-800-750-0750	1-866-408-9501 (TTY) 1-800-750-0750
Crawford  Bucyrus Community Hospital  Galion Community Hospital Delaware  Grady Memorial Hospital Fairfield  Fairfield Medical Central Fayette  Fayette County Memorial Hospital Franklin  Arthur G James Cancer Hospital and Richard J Solove Research Hospital  Grant Hospital  Ohio State University Hospital  OSU Hospital East  Riverside Methodist Hospital Knox  Knox Community Hospital Licking  Licking Memorial Hospital Logan  Mary Rutan Hospital Madison  Madison County Hospital Marion  Marion General Hospital Morrow  Morrow County Hospital Pickaway  Berger Hospital Pike  Pike Community Hospital Ross  Adena Regional Medical Center Union  Memorial Hospital of Union County	Crawford  Bucyrus Community Hospital  Galion Community Hospital Fairfield  Fairfield Medical Central Fayette  Fayette County Memorial Hospital Franklin  Arthur G James Cancer Hospital and Richard J Solove Research Hospital  Ohio State University Hospital  OSU Hospital East  Mount Carmel East  Mount Carmel St Ann’s  Mount Carmel West Knox  Knox Community Hospital Licking  Licking Memorial Hospital Madison  Madison County Hospital Marion  Marion General Hospital Pickaway  Berger Hospital Pike  Pike Community Hospital Ross  Adena Regional Medical Center Scioto  Southern Ohio Medical Center Union  Memorial Hospital of Union County

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	Additional Services and Extra Benefits
CareSource 1-800-993-0780 (TTY) 1-800-750-0750	No co-pays 25 psychologist visits a year 12 chiropractic visits a year Preventive dental exam every 6 months More eyeglass frame choices
Molina HealthCare of Ohio 1-866-408-9501 (TTY) 1-800-750-0750	No co-pays Annual eye exams

Central Region Transportation Benefits

MCPs must provide transportation for its members if:

1. It is medically necessary for a member to use an ambulance or ambulette for transport to an MCP-covered service; and/or
2. A member must travel 30 miles or more from their home to reach an MCP-authorized provider.

MCPs may provide additional transportation services as an extra benefit to members. The extra transportation assistance listed below is in addition to the transportation MCPs must provide to their members as listed above. For more information on how to arrange non-emergency transportation, contact the MCP’s member services.

The county department of job and family services will provide transportation through the Non-Emergency Transportation (NET) program whenever the transportation shown below is not provided by the MCP.

Health Care Plan	Cab Fare Shuttle Service	Must Call MCP in Advance
CareSource 1-800-993-0780 (TTY) 1-800-750-0750	30 one way trips per member per 12-month period to any health care, or CDJFS re-determination appointments	48 Hours (2 business days)
Molina HealthCare of Ohio 1-866-408-9501 (TTY) 1-800-750-0750	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 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 have a doctor that you want to deliver your care?
• Do you have a health problem, which needs treatment by a specific type of doctor or specialist?
• Do you have a hospital that you would like to deliver your care?
• Do you 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 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