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MPCN provides the broadest choice of physicians and specialists in the state at
competitive, network negotiated rates. MPCN offers web based claim pricing allowing
customer and provider access to re-price claims online. Additionally, we offer an
online provider directory, updated daily, and available 24/7!
Please contact us
for more information on how you or your business can become part of the MPCN network.
We look forward to serving you as your PPO partner.
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MISSISSIPPI
COORDINATED ACCESS NETWORK Program
Program Description
The Mississippi Division
of Medicaid will contract with Coordinated Care Organizations (“CCOs”) to
provide services to members in the MississippiCAN program
- The
program will be statewide, covering all 82 counties
- Key Dates:
- The DOM
reviewed proposals and awarded the opportunity to contract to Magnolia Health
Plan and UnitedHealthcare
-
Enrollment effective date is proposed for October 1st, 2010
- Target
population includes current fee for service Medicaid members who also:
- are SSI
eligible; or
- have a
disabled child at home; or
- are
identified as Working Disabled; or
- are
Breast/Cervical Cancer Program Members.
- Enrollment
Process:
- Members
will be notified of enrollment in MississippiCAN program
- Members
will have an opportunity to select plan to enroll in (after 30 days, members
will be auto assigned into a plan);
- For 90
days post enrollment members may opt out of MississippiCAN program (return to
FFS Medicaid), after which they will remain in the program for 1 year.
- CCO Health
Benefits
- At a
minimum, CCO benefits must match the current Medicaid benefits
- CCO will
be responsible for:
- Building
and maintaining a provider network (all
providers must have active Medicaid ID number)
- Managing
health benefits
-
Administering claims
- Operating
provider and beneficiary call centers
- Providing
disease management services focused on chronic conditions such as diabetes,
asthma, hypertension, obesity, congestive heart disease, hemophilia,
transplants, etc.
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Some Information Regarding
“MississippiCAN”
MISSISSIPPI
COORDINATED ACCESS NETWORK Program
For more information, please download the
Information Request Form
and fax the completed form to
601-605-4753
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