Wednesday, October 14, 2009

Care Select Update

A representative of Family Voices attended the Care Select advisory council today. You may remember that when Care Select was rolled out approximately a year ago, there were some concerns voiced by families with children with a Medicaid waiver b/c many families have those children on their private insurance as well. There was often a conflict between meeting the in-network requirements for a doctor for private insurance versus trying to choose a PMP in the Care Select care management organization. Family Voices worked on a sub committee to try to work out a plan for these families and individuals. These members were not auto-enrolled in Care Select when the rest of the 70,000 members chose PMP's.

Since that time, Care Select has been found to be out of compliance with this initiative because approx 2300 families/individuals with some sort of Medicaid waiver and/or level of care are not currently enrolled in Care Select. Many were just placed on traditional Medicaid, without choosing a PMP, in the interim.

However, OMPP is revisiting those cases at the present time. It is their hope to enroll everyone, including this group, in Care Select with a PMP, and either Advantage or MdWise as the care management organization. At this time, there are no directives for those individuals with waivers and not currently in Care Select. However, you can be proactive by checking to see if your doctor is in fact in Care Select. If so, find out which care management organization they are affiliated with (some are affiliated with both) This way you will be better prepared and informed if you are asked to choose a PMP in the future.

If your current doctor is NOT a PMP with Care Select, you do not have to do anything at this time. We will keep you updated as plans are made for the future. The state will be communicating directly with this population; Family Voices is just trying to make sure you are apprised of the situation.

If you would like to become more familiar with the history of this issue, you can read more at the Family Voices blog by clicking the Care Select link to the left of the posts.

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