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Wisconsin's Medical Assistance Managed Care Expansion
WHAT:
Beginning fall 1996, every eligible family will be enrolled in an HMO and will
only be able to receive their care from that provider (as with any managed care
enrollment). The hope is that families will select their HMO.
WHO IS ELIGIBLE:
Will affect over 150,000 eligibles statewide any AFDC or Healthy Start Medical
Assistance eligible family
NOTE: mandatory enrollment does NOT apply to Social Security Supplemental Insurance recipients--disabled and over 65 lives in county where at least two HMOs have been certified to enroll this population
WHEN:
Phase I begins August 25, 1996 when first informing materials
are mailed to recipients.
Phase II begins October 28, 1996
Phase III begins December 30, 1996
HOW:
Each family will be given an opportunity to select one HMO
for their health plan. Automatic assignment to an HMO will occur if a family
does not select. In order to help families understand what they are required
to do, an outside, impartial specialist organization has been hired to perform
outreach. Informing materials will be distributed over an 8 week period, with
announcements, reminder cards, and phone call follow-up if needed.
"Projected HMO Participation in Medicaid Managed Care Expansion by County"
This map shows the expected number of eligible recipients and the number of HMOs intending to serve the county.
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