Wednesday, 21 October 2015

Managed Medical Assistance (MMA) Program

Managed Medical Assistance (MMA) Program - Mandatory Recipients Only: For those who are required to enroll in a plan. 

1.    What if my current plan will not participate in the MMA program? 
If your current plan will not participate in the MMA program, you must pick a different plan. The plan you pick must cover your services with your current providers for up to 60 days while you move to new providers in the plan’s network. You may want to pick the plan that has most of the doctors and service providers that are important to you. 

2.    What if I do not choose an MMA plan? 
If you do not choose an MMA plan in time, the State will choose one for you. Your packet includes the name of the MMA plan that would be chosen for you and the MMA plan’s start date. Also keep in mind that you will have 90 days to change your MMA plan from the date your enrollment in the plan begins. After 90 days, you may only change your plan during Open Enrollment or with a State-approved reason. Open Enrollment is a period of time, once a year, that allows you to change plans without a State-approved good cause reason. 

3.    If I am enrolled in a Long-term Care plan do I need to enroll in an MMA plan, too? 
Yes. If you or your family member are enrolled in a Long-term Care plan, you will need to choose an MMA plan for medical services covered by Medicaid. 



4.    .I am enrolled in the Medicaid MediPass program. Can I stay under MediPass? 
No. The MediPass program is going away. You must choose an MMA plan that best fits your needs. 

5.    I am enrolled in a Medicaid dental plan. Can I stay in it? 
No. The Medicaid dental plans are going away. Dental services are now being covered by the MMA plans. You will want to choose an MMA plan that best meets your needs. 

6.    I am enrolled in a Medicaid prepaid mental health plan. Can I stay in it? 
No. The Medicaid prepaid mental health plans are going away. Mental health services are now being covered by the MMA plans. You will want to choose an MMA plan that best meets your needs. 

7.    I am on straight Medicaid (fee-for-service Medicaid). I received a letter that stated I must choose an MMA plan. Can I choose to stay on straight Medicaid or fee-for-service? 



Because of changes in Florida law, most people on Medicaid must enroll in an MMA plan and cannot stay on fee-for-service Medicaid. If you do not choose an MMA plan by the date stated in the letter, the State will choose one for you. 

2 comments:

  1. Great blog nice n useful information , it is very helpful for me , I really appreciate thanks for sharing. I would like to read more information thanks.

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