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MISSISSIPPI COORDINATED ACCESS NETWORK Program

Program Description

 The Mississippi Division of Medicaid will contract with Coordinated Care Organizations (“CCOs”) to provide services to members in the MississippiCAN program

  • The program will be statewide, covering all 82 counties
  • Key Dates:
    • The DOM reviewed proposals and awarded the opportunity to contract to Magnolia Health Plan and UnitedHealthcare
    • Enrollment effective date is proposed for October 1st, 2010
  • Target population includes current fee for service Medicaid members who also:
    • are SSI eligible; or
    • have a disabled child at home; or
    • are identified as Working Disabled; or
    • are Breast/Cervical Cancer Program Members.
  • Enrollment Process:
    • Members will be notified of enrollment in MississippiCAN program
    • Members will have an opportunity to select plan to enroll in (after 30 days, members will be auto assigned into a plan);
    • For 90 days post enrollment members may opt out of MississippiCAN program (return to FFS Medicaid), after which they will remain in the program for 1 year.
  • CCO Health Benefits
    • At a minimum, CCO benefits must match the current Medicaid benefits
  • CCO will be responsible for:
    • Building and maintaining a provider network (all providers must have active Medicaid ID number)
    • Managing health benefits
    • Administering claims
    • Operating provider and beneficiary call centers
    • Providing disease management services focused on chronic conditions such as diabetes, asthma, hypertension, obesity, congestive heart disease, hemophilia, transplants, etc.



 Some Information Regarding

“MississippiCAN”

MISSISSIPPI COORDINATED ACCESS NETWORK Program

 

For more information, please download the Information Request Form and fax the completed form to 601-605-4753



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