en español
Welcome
Choosing a health plan
Changing health plans 
Meetings near you 
Health plans
Find a doctor, clinic or hospital
Mental Health
Prior Authorizations
FAQ (frequently asked questions)
Charts and brochures
Contacts and links
Information for providers
MississippiCAN Program Design Summary: REVISED January 7, 2013
MississippiCAN Program Design Summary: REVISED November, 2012
MississippiCAN Program Design Summary: REVISED March 1, 2010
CCO Contract

                                           

  
Welcome!

Beneficiary Workshop Information
The Division of Medicaid
has implemented a Coordinated Care Program called Mississippi Coordinated Access Network (MississippiCAN). There are certain beneficiaries that will qualify for this program. The charts below identify which beneficiaries will be mandatory, and which ones are optional. The program MississippiCAN is designed to get a better return on Mississippi’s health care investment by improving the health and well-being of Medicaid beneficiaries.

The Mississippi Division of Medicaid has contracted with two Coordinated Care Organizations, who are responsible for providing services to the Mississippi Medicaid beneficiaries who participate in the MississippiCAN program.

Beneficiaries who are mandatory and qualify for this program will only have the choice to switch between the two plans, Magnolia Health Plan and UnitedHealthcare Community Plan. Mandatory populations are not eligible for disenrollment.

Beneficiaries who are optional and qualify for this program will have the choice to either enroll in a Coordinated Care Organization (CCO) or choose to stay in the traditional “Fee-for-Services” program.  

Mandatory Populations

Age Categories

001 -SSI 19-65
025 - Working Disabled 19-65
027 - Breast and Cervical Cancer 19-65
088 - Pregnant Women and Infants 0-1 & 8-65
085 - Family/Children-TANF 0-1 & 19-65
087 - Children 0-1
091 - Children

0-1

Populations Eligible to Opt Out
Age Categories
001 - SSI 0-19
019 - Disabled Child Living at Home 0-19
026 - DHS-Foster Care Children 0-19
003 - DHS-Foster Care Children
        (Adoption Assistance)    
0-19

How does MississippiCAN work?

All Medicaid beneficiaries who are in the categories of eligibility listed above will receive an enrollment packet in the mail that will explain the program in more detail. At that time, the beneficiaries that are optional will have the choice to choose one of the CCOs or choose not to participate or “opt out”. Those who are mandatory will only have the choice to choose between the two plans, UnitedHealthcare Community Plan or Magnolia Health Plan. Beneficiaries who choose to enroll will have an open enrollment period, 90 days after their initial enrollment, to either choose another plan or opt out if eligible. However, if they choose to stay in the plan they will be locked into the plan for a one year period or until the open enrollment period in which is October – December of every year.

Provider Network

Each of the CCOs are required to develop a provider network that will include all types of providers to service our beneficiaries. Each of the CCOs are in the process of developing their networks and in some cases may subcontract with vendors to provide services (i.e. Dental, Vision, DME, Lab, etc.).

What services are covered?

All services currently covered by Medicaid are included, but not limited to:

  • Physician Office Visits
  • Durable Medical Equipment (DME)
  • Dental
  • Vision (more than Medicaid)
  • Therapy Services
  • Hospice Services
  • Pharmacy Services
  • Mental Health Services
  • Outpatient hospital services (chemotherapy, ER visits, X-rays, etc.)
  • Home Health Services
What will the CCO’s not pay for?

The CCO’s are not required to pay for:

  • Inpatient Hospital Services
  • Transportation Services to and from doctor visits

However, regular Medicaid will still pay for these things and the CCOs will set up the appointment time for pick up for the member only.

If you should have any questions, please call the Mississippi Division of Medicaid, Coordinated Care Bureau, toll-free at 1-800-421-2408 or 601-359-3789.





















































































 



 
Mandatory enrollment

Optional enrollment

MSCAN CONTACTS

  Xerox Health Solutions
  Toll-free: 800-884-3222
  MSCAN Enrollment

  Magnolia Health Plan
  Toll-free: 866-912-6285
  www.magnoliahealthplan.com
 
  United Healthcare
  Toll-free: 877-743-8731
  www.uhcommunityplan.com

  Division of Medicaid
  Telephone: 601-359-3789
  Toll-free: 1-800-421-2408
  www.medicaid.ms.gov/MSCAN    
  Mental Health Services

   Inquiry/Complaint Form