The Division of Medicaid has contracts with two Coordinated Care Organizations, who are responsible for providing services to the Mississippi Medicaid beneficiaries who participate in the MississippiCAN program.
All plans offer the same services Medicaid offers. Each plan will offer extra benefits such as vision and physician visits benefits.
Choosing a Health Plan
When choosing a health plan beneficiaries must know that this is a way to get Medicaid Services. When you are in a health plan you will have your own doctor or clinic.
Choose a Plan that is Best for You
There are two health plans in MississippiCAN. Below are tips for members when choosing a plan:
- Medicaid beneficiaries should choose a health plan that is best for them and meets their medical needs.
- Compare the benefits that each health plans offers.
- Check to see if your doctor and/or hospital accept the health plan.
- You can only see your regular primary care physician or specialist if they accept your plan.
Health Plan Resources
All services currently covered by Medicaid are included but the limits may be different for some services. The health plans will pay for the following:
- Physician Office Visits (more than what Medicaid provides)
- Durable Medical Equipment (DME)
- Vision (more than what Medicaid provides)
- Dental (limited over 21)
- Therapy Services
- Hospice Services
- Pharmacy Services
- Mental Health Services
- Outpatient hospital services (Chemotherapy, ER visits, x-rays, etc.)
All MississippiCAN beneficiaries must always present your new health plan card and your Medicaid card for all health plan services.
The Coordinated Care Organizations (CCOs) are not required to pay for:
- Inpatient Hospital Services
- Transportation Services to and from doctor visits.
- (The Health Plans will set up the appointment time for pick up for the member only)
Regular Medicaid will still pay for these services.
- Some medication and drugs
- Why? The drug lists for the plans and Medicaid may be different.
- If the pharmacy tells you that your drug is not covered, you should call your doctor to get approval.
- For emergencies, you may ask pharmacist for an emergency supply of medication.
Each of the CCOs are required to develop a provider network that includes all types of providers to service our beneficiaries. Each of the CCOs are in the process of developing their networks and in some cases may subcontract with vendors to provide services (i.e. dental, vision, durable medical equipment, lab, etc.).