Applying for HealthChoice
How do I enroll in HealthChoice?
If you qualify for Medicaid because you receive payments from Supplemental Security Income (SSI) or Temporary Cash Assistance (TCA), or as a result of the Medicaid application process, you will likely be eligible for HealthChoice. If you are eligible for HealthChoice, you will receive information about the managed care organizations (MCOs) available in your county so you can choose your own provider.
The Enrollment Broker is available to help you with any part of the enrollment process. You may enroll by mail, telephone or in person, if requested or if medically necessary. For help with applying for HealthChoice, please contact the HealthChoice Enrollment Line at 1-800-977-7388. You may call Monday through Friday from 7 a.m. to 7 p.m.
How soon do I have to choose an MCO?
If you are an MCO-eligible beneficiary, you have 21 days to select an MCO from the day you receive your eligibility notification and information packet. If the recipient is a child in foster care or kinship, you have 60 days. If you do not pick an MCO, the State will pick one for you. If you select a specific primary care physician (PCP) when you choose your MCO, the MCO will be told about your choice. Within 0 days of the effective date of enrollment, the MCO will notify you of your PCP assignment.
If you are new to HealthChoice, you will receive a fee-for-service Medical Assistance card to use until you are enrolled in the MCO that you select and you receive your HealthChoice card with a new member enrollment packet.
What is the Health Risk Assessment form?
The Health Risk Assessment is a series of questions that is part of the HealthChoice enrollment process. It helps to identify people who may need immediate care because of certain health problems. You will complete the Health Risk Assessment when you enroll or within five days of enrollment. The information is sent to your MCO within five business days. The MCO is responsible for ensuring that if you are a new enrollee who needs special or immediate health care services, you receive them in a timely manner.