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.

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.).

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

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.