Medicaid Managed Care - U.S. Senate Special Committee on Aging
Medicaid Managed Care - U.S. Senate Special Committee on Aging Medicaid Managed Care - U.S. Senate Special Committee on Aging
197 * Refer you to a medical specialist if you have a high risk pregnancy. * Give you a checkup after your baby is born. This visit will be scheduled within 10 days of your request. * Help you make wise food choices. * Offer ways to help you quit smoking. * Refer you and your children under five years of age to the WIC (Women, Infants and Children's) Program for food and nutrition services. * Give you an HIV test and counseling if you ask for it. * Give you treatment for drug or alcohol problems within 24 hours of your request. This includes day treatment programs that allow you to bring your children. IF YOU ARE HOMELESS Homeless people have protection in the HealthChoice program. You will need to enroll in an MCO. The information about picking an MCO for your medical care may not reach you by mail. Call 1-800-977-7388 to enroll in an MCO. O Your MCO will: * Provide a case manager to coordinate your health care services. * Design a treatment plan to meet your health needs. 8
198 IF YOU NEED HELP TO GET OFF DRUGS AND ALCOHOL El Your MCO will: * Talk to you about drugs and alcohol as part of your first health or prenatal visit. * Tell you about programs to help you get off drugs and alcohol if you test positive for substance abuse. * Offer treatment to help you get off drugs and alcohol (detox). This treatment may be either outpatient or inpatient depending on your medical needs. * Offer you outpatient treatment to stay off drugs and alcohol. * Offer the right kind of addiction programs for children under 21 and for adults eligible in TCA (Temporary Cash Assistance Program). If you have HIV/AIDS and want help with a drug or alcohol problem: You will be able to get services I to help you get off drugs and alcohol within 24 hours of your request. If you are pregnant and want help with a drug or alcohol problem: You will be given: * Drug and alcohol abuse treatment within 24 hours of your request. * Case management services. * Intensive outpatient programs to address your needs. You can get treatment that allows your children to be with you. 9
- Page 150 and 151: 146 If More is Better, Cost Contain
- Page 152 and 153: 148 ANALYSIS OF OUTCOMES SF-36 phys
- Page 154 and 155: 150 4-Year Physical Health Outcomes
- Page 156 and 157: 152 MAJOR FINDINGS -1 PHYSICAL DECL
- Page 158 and 159: 154 INTERPRETATION OF RESULTS * Equ
- Page 160 and 161: 156 Additional Information is on th
- Page 162 and 163: order) were followed. Samplingpatie
- Page 164 and 165: AP Ag. 0065(0 og. qP e8 y. d-ftd 04
- Page 166 and 167: 162 Tlbb. 5-Plso91 A& MerohJ H89t0
- Page 168 and 169: and chest pain sufficient to requir
- Page 170 and 171: 166 Quality Special</strong
- Page 172 and 173: THE STATE OF THE STATES TUESDAY, JU
- Page 174 and 175: 171 a little bit about some of the
- Page 176 and 177: 173 gatekeeper, and we also wondere
- Page 178 and 179: 175 Maryland ought to submit that w
- Page 180 and 181: 177 fined by us in our regulations,
- Page 182 and 183: 179 To get to that kind of situatio
- Page 184 and 185: 181 Outline of Presentation for Dep
- Page 186 and 187: 183 B. Approaches to Ensure Quality
- Page 188 and 189: 185 * Holds MCOs accountable for qu
- Page 190 and 191: 187 HealthChoice and People with <s
- Page 192 and 193: 189 HealthChoice and People with <s
- Page 194 and 195: 191 Take these three steps to choos
- Page 196 and 197: 193 Call 1-800-888-1965 if you are
- Page 198 and 199: IF YOU HAVE HIV/AIDS 195 MCO staff
- Page 202 and 203: *pV 199 SERVICES FOR CHILDREN IN ST
- Page 204 and 205: 201 Ms. CHRISTENSEN. Thank you. Go
- Page 206 and 207: 203 We implement these QI goals thr
- Page 208 and 209: 205 Medicaid recip
- Page 210 and 211: 207 My name is Peggy Bartels. I am
- Page 212 and 213: 209 At the forefront of Wisconsin's
- Page 214 and 215: 211 Finally, we believe that high q
- Page 216 and 217: 213 WISCONSIN DEPARTMENT OF HEALTH
- Page 218 and 219: 2 SELECTED INDICATORS Access to <st
- Page 220 and 221: Mental Health 217 * HMOs reported f
- Page 222 and 223: 'Nisconsin Medicaid</strong
- Page 224 and 225: Program for Program Chareolorletice
- Page 226 and 227: Primary Program AFDC/H8 Provlqar Ch
- Page 228 and 229: 225 Children Come First of Dane Cou
- Page 230 and 231: 227 Wraparound Milwaukee saving dol
- Page 232 and 233: 229 Another positive outcome of the
- Page 234 and 235: 231 AltDoughl Nkvie' iniCil costs i
- Page 236 and 237: 233 CCE's staff consist of a variet
- Page 238 and 239: 235 Al the cturent time, there is n
- Page 240 and 241: 237 PACE/Partnership programs guide
- Page 242 and 243: 239 necessarily relevant to the AFD
- Page 244 and 245: 241 about including these specialty
- Page 246 and 247: EXECUTIVE COMMITTEE Ct-u B.1r- M.mb
- Page 248 and 249: Considerations: 245 Enrolling <stro
198<br />
IF YOU NEED HELP TO GET OFF<br />
DRUGS AND ALCOHOL<br />
El Your MCO will:<br />
* Talk to you about drugs and alcohol as part of your<br />
first health or prenatal visit.<br />
* Tell you about programs to help you get off drugs<br />
and alcohol if you test positive for substance abuse.<br />
* Offer treatment to help you get off drugs and alcohol<br />
(detox). This treatment may be either outpatient or<br />
inpatient depending <strong>on</strong> your medical needs.<br />
* Offer you outpatient treatment to stay off drugs<br />
and alcohol.<br />
* Offer the right kind of addicti<strong>on</strong> programs for<br />
children under 21 and for adults eligible in TCA<br />
(Temporary Cash Assistance Program).<br />
If you have HIV/AIDS and want help<br />
with a drug or alcohol problem:<br />
You will be able to get services I<br />
to help you get off drugs and<br />
alcohol within 24 hours of<br />
your request.<br />
If you are pregnant and want help with a drug<br />
or alcohol problem:<br />
You will be given:<br />
* Drug and alcohol abuse treatment within 24 hours<br />
of your request.<br />
* Case management services.<br />
* Intensive outpatient programs to address your needs.<br />
You can get treatment that allows your children to<br />
be with you.<br />
9
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