what is masshealth pcc plan
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MassHealth PCC and MCO Program Overview - PowerPoint PPT Presentation The PCC Plan is a statewide primary care case management program serving MassHealth members eligible for managed care ; Members that elect enrollment in the PCC Plan must select a primary care provider; The PCC Plan contracts with 1,040 primary care clinicians (PCCs) that practice at approximately 1,540 PCC sites (as of June, 2012).
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- The North Carolina Division of Medical Assistance operates a statewide Primary Care Case Management (PCCM) program for the state’s Medicaid beneficiaries called Carolina ACCESS.
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Medicaid in New York State A Medicaid Managed Care health plan will provide your care by working with a group (network) of doctors, clinics, hospitals and pharmacies. You will choose one of the doctors from the health plan to be your Primary Care Provider (PCP). Your PCP will provide most of your care.
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- It is the financial engine for the publicly subsidized. insurance created by the 2006 state health reform law, which. greatly expanded coverage in Massachusetts and was, in many. respects, a model for the national reform law passed in March. 2010. MassHealth presents challenges as well.
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- What Is a Plan of Care? A plan of care is the list of long term care services and care you need, developed by your care coordinator or other licensed health care practitioner in conjunction with you and/or your family. Many insurance plans will monitor and reassess your plan of care on a regular basis to ensure it continues to meet your needs and will make changes as necessary. A plan of care can also address the wide range of additional services available in the community to help you meet your long term care needs. Community-based services include friendly visitor programs, home-delivered meals, chore services, and adult day care centers.
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- All plans follow the Affordable Care Act guidelines and provide the same set of essential health benefits, quality, and amount of care: 1  Ambulatory patient services. 2  Emergency services. 3  Hospitalization. 4  Maternity and newborn care. 5  Mental health disorder services. 6  Substance use disorder services.
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- The Partnership Contribution (PC) is one element of the PIP Benefit Sharing System. It is an annual cash contribution to WHO by influenza vaccine, diagnostic and pharmaceutical manufacturers who use the WHO Global Influenza Surveillance and Response System (GISRS).
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Patient Controlled Analgesia Patient controlled analgesia (PCA) is a way for you to give yourself pain medicine when you feel you need it. The PCA is a machine that is programmed to give you pain medicine slowly through an IV. The PCA pump will not let you get too much medicine.
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- MassHealth Info and Other Important Contacts. Quality Management Program. Resources. Events and Trainings. PCC Quick Links. Getting Started. PCC Information. Behavioral Health Resources. Find a Provider. Integrated Care Management Program. MassHealth Info and Other Important Contacts. PCC Reports. Resources. Events and Trainings. Transformation and Integration of Care. About
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- Community HealthChoices is a new initiative that will use managed care organizations to coordinate physical health care and long-term services and supports (LTSS) for older persons, persons with physical disabilities, and Pennsylvanians who are dually eligible for Medicare and Medicaid (dual eligible).
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HCM #2 You are now a member of the Partnership HealthPlan of California (PHC). PHC is a health plan. for people who have Medi-Cal. As a new PHC member there are some things you need to do.  Choose a Primary Care Provider (PCP) from the list of providers you received from PHC. This list of medical providers is called a Provider Directory.  Tell the PHC Member Services Department which PCP that you chose.
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What Qualifies as Income When Applying for MassHealth? The asset limit varies according to the MassHealth plan you're applying for: for MassHealth Standard, Essential and Limited, you can have up to $2,000 in assets; for the MassHealth Buy-In Program, you can have up to $6,600 in assets.
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- The Health Connector and MassHealth will send a letter to all applicants who will be. receiving temporary coverage. The letter will explain the temporary coverage, what services. are covered, which providers they can see, and how to get more information. The first of.
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CommonHealth 1 Answer. Unlike MassHealth Standard, CommonHealth participants are not subject to income or asset limitations. CommonHealth is an option for people with disabilities who have income that exceeds 133% of the federal poverty level (FPL), which for a single person in 2005 is $1061 a month.
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- Contact if you need help with: 1  Provider enrollment. 2  Provider file updates. 3  Provider credentialing. 4  How to become a PCC Plan provider. 5  Change your PCC Plan Information. 6  Request a MassHealth Provider Manual (Include your provider number and a street address.)
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Health Plan Introduces New Individual Products “UPMC Individual Advantage is a total health product and a new way for UPMC Health Plan to deliver innovative and affordable health plans designed to meet our members’ physical and behavioral health needs,” said Diane P. Holder, President and CEO of UPMC Health Plan and President of the UPMC Insurance Services Division.
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HCM #2 You are now a member of the Partnership HealthPlan of California (PHC). PHC is a health plan for people who have Medi-Cal. As a new PHC member there are some things you need to do. • Choose a Primary Care Provider (PCP) from the list of providers you received from PHC. This list of health care providers is called a Provider Directory.
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- After reading this handbook, you may determine that the MassHealth PCA Program is not right for you. If you are currently using the PCA Program, this handbook will provide helpful information. A personal care management (PCM) agency can provide you with more information and training on how to use the PCA Program.
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List of plants of the Sierra Nevada (U.S.) 1 Some plants with a broader altitudinal range are found listed in their predominant habitat elevation. 2  All the plant species listed are native to the Sierra's foothills, valleys, and mountains.he Sierra Nevada mountain range, also known locally as the Sierras or Sierra Nevada , run 400 miles (640 km) north-to-south along eastern California, and occasionally in western Nevada.
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Personal Care Attendant Services Our Personal Care Attendant (PCA) program allows eligible individuals to hire personal care attendants to help them do the things they can’t do for themselves.
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- Cigna Connect plans offer: › You choice of a primary care. physician (PCP). › Affordable premiums and. lower negotiated rates to keep. your health care costs down. › 100% in-network preventive. care1 to help keep you healthy.
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Medical Records A Coordinated Care Plan is a written or electronic plan that is created and maintained by the patient. and his or her family, the health Care Team including physician consultants where appropriate, and. when necessary, community services. It outlines the patient’s short and long -term needs, recovery.
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Physician's Network UnitedHealthcare SCO is a Coordinated Care plan with a Medicare contract and a contract with the Commonwealth of Massachusetts Medicaid program. Enrollment in the plan depends on the plan’s contract renewal with Medicare. This plan is a voluntary program that is available to anyone 65 and older who qualifies for MassHealth Standard and Original Medicare.
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STAR/Medicaid A PCP is a Community First Health Plans STAR network provider with one of the following specialties: General Practice, Family Practice, Internal Medicine, Obstetrics and Gynecology (pregnant women only), Pediatrics, Federally Qualified Health Centers (FQHCs) or Rural Health Clinics (RHCs).
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MassHealth Customer Service Phone Number MassHealth phone number can be found very easily now. It means help is now just a call away. You simply have to punch 1-800-841-2900 on your phone. In Massachusetts, Medicaid and the Children's Health Insurance Program (CHIP) are combined into one program called MassHealth.
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MassHealth CommonHealth Catalyst Center. MassHealth CommonHealth covers children and adults with disabilities with incomes that are too high to qualify for MassHealth Standard. Children with disabilities and with incomes above 150 percent of the federal poverty level may be eligible for CommonHealth.