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All MCOs are responsible to provide or arrange for a wide array of healthcare services. MCO Agreement Aetna Better Health.

Kaiser Permanente. For additional information about each of the nine MCOs click on the link above.

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Log into your account www. Are in program with limited benefits such as the Maryland Family Planning Program.

Are already in a long term care facility or are expected to need more than 90 days of stay. MCO Comparison Chart.

Are long term care services provided? If a Uis Choice beneficiary requires more days in a long term care facility than is covered by the MCO currently 90 days or less they must apply for Medicaid long term care LTC benefits.

LTC eligibility requirements are more restrictive than HealthChoice. Criteria for Participation: Also, the REM Program is limited to individuals with certain qualifying conditions or diseases.

Information regarding these diseases may be obtained by calling Check with the MCO. Each MCO has rules about when a referral is needed for specialty care and most MCOs require all services to be obtained from providers in network. HealthChoice searc not cover services when a member is out of state except for emergencies.

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The time limit for the services from an out-of-network provider for all conditions above except for pregnancy:. For pregnancythe time limit lasts through the pregnancy and the first visit to a health care provider after the baby is born. Contact Us Privacy Accessibility.