Medicaid Managed Care - U.S. Senate Special Committee on Aging

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CHILDREN WITH SPECIAL
HEALTH CARE NEEDS
Most children with special health care
needs will be enrolled in MCOs.
El The MCO will:
* Refer the child to a health care
provider who has experience in
working with children with
special health care needs.
* Offer services to children with
developmental delays.
* Develop a complete care plan for
each child.
* Provide case management services
when needed to carry out the
child's care plan.
Provide medical equipment and assistive technology
in a timely manner.
Children living in institutions and children in the Model
Waiver and people with rare and expensive conditions
will not enroll in an MCO. For information about rare
and expensive conditions, call 1-800-565-8190.
IF YOU HAVE A PHYSICAL DISABILITY
El Your MCO will:
* Offer medical equipment and assistive technology from
a provider who has worked with people who have
physical disabilities.
* Get an assessment and a second opinion before you are
transferred to a nursing home or institution for help with
your physical disability. The MCO must ask for approval
from the Department of Health and Mental Hygiene
before you can be placed for more than a 30 day stay.
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