Sunday, May 18, 2008

Care Select Update

An FV Indiana representative attended the Care Select Advocates meeting on Tuesday May 13th. It is important for families to note that auto assignment(assigning members who HAVE not selected a primary care physician (PMP) within the system) will start on June 1st.

To avoid auto assignment please take the following steps:
Call Indiana Care Select Helpline: 1-866-963-7383
Hours of operation:
8:00 a.m. - 7:00 p.m. Monday-Friday8:00 a.m. - 1:00 p.m. SaturdaySteps to Care Select:
· You should ask if your preferred primary care physician is enrolled with Care Select.
o If they are, you will need to simply select that provider. (this is true even if you have private insurance) If they are enrolled in BOTH Advantage and MDWise you can choose the CMO as well.
· Before you choose a Care Management Organization (Advantage and/or MDWise) you are encouraged to call and speak with their member services department to get information about the different organizations..
o If they are only enrolled in one CMO, you must choose that CMO.
· If your preferred Doctor is not enrolled, you can share who that physician is and ask that MD Wise and Advantage try to enroll that doctor. (also true for everyone with and without private insurance)
o Calling soon will allow time for Advantage and/or MD Wise to try to enroll your current doctor.
· If your doctor chooses not to enroll you may need to select a new doctor, (calling early will give you time to research who will be a good fit for you).
· Individuals who have private insurance in addition to Medicaid may be able to keep their primary care physician even if that doctor does not enroll in Care Select. The particulars of that option are still be worked out at the state level. If this applies to you—ask to speak to a supervisor when you call the enrollment broker.
*** Please note Wavier Members will NOT be auto assigned at this time*****

In other news starting July 1 all wards of the court and foster children currently enrolled in Medicaid will begin transitioning to the Indiana Care Select program. You will find a flyer attached with details of community presentations begin held throughout the state to share information related to this change.

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