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Managed Care

Care Coordinators: Helping You Chart a Path to Better Health

Your care coordinator is a resource to help you make sure you are getting the health services you need. Your care coordinator works with you to create a personalized care plan to meet your health needs and preferences, and helps answer questions about your health care.


Reminder: The Plan Selection Period is Almost Over for Some Medallion Members

The Open Enrollment Period is almost over for some Medallion members. If you are currently eligible to change your health plan, you should have received a yellow letter in the mail with more information. The deadline to make a change is December 31, 2021.  


Connect With Your Doctor

​Once you select your health plan, it’s time to choose your primary care provider (PCP). Your PCP is your family doctor who provides most of the health care you will ever need. He or she will also refer you to other providers for more specialized care.


Open Enrollment Season is Here

Through December 31, 2021, some Medicaid members are able to change their health plan for any reason. If you are eligible for this plan selection period, you should have received a yellow letter in the mail.


Live Your Life With Support

You may need long-term support due to illness, injury, a disability, or other conditions. Medicaid has you covered. If you are in one of those situations, you may be enrolled in the Commonwealth Coordinated Care Plus program. You will receive a Care Coordinator who will work with you to ensure you will receive the care you need.


Open Enrollment 2021 Has Begun

Having a health care plan that meets your needs is important. During Medicaid Open Enrollment you can change your health plan for any reason. For some Commonwealth Coordinated Care Plus members, open enrollment starts October 1 and ends December 31, 2021. For others, open enrollment starts November 1 and ends December 31, 2021. We will send you a letter by mail with your dates and plan selection packet.


Outreach Underway for Letter Sent in Error to Some Members

Some Medicaid members recently received a letter from our agency with the title “Premium Payment (Capitation Fees) for Managed Care Organization and Estate Recovery.” We sent this letter in error. If you are a Medicaid member who received this letter and took steps to cancel your health coverage, please contact us right away. We want to help you restore your health care coverage.


Your Medicaid Benefits Include Prescription Drugs

Your prescription drugs are covered at no cost to you under your health plan. Learn the necessary requirements so that you can receive your authorized prescriptions with ease.


Transportation is One of Your Medicaid Benefits. Let Us Give You a Ride!

As a CCC Plus member, your transportation to Medicaid services is covered by your health plan (or their transportation broker) if you do not have another way to get there. You can call Member Services to ask for the transportation phone number, or it may be listed on the back of your Member ID card.


Medicaid Benefits: We’ve Got You Covered!

Learn about the many benefits and services your Medicaid health coverage offers.  The complete list of benefits is located in your member handbook on your health plan's website.