1805.060.00 Managed Care and Medicare

1805.060.00 Managed Care and Medicare

IM-29, March 06, 2019

Individuals enrolled in Medicare cannot also received Managed Care.  If someone receiving Medicare requests coverage under a Family MO HealthNet program, they will not be allowed to enroll in managed care. The individual will be automatically opted out and placed under fee-for-service.

This issue should be discussed with the individual.  Some medical professionals will not accept fee-for-service patients.  If individuals need assistance finding fee-for-service providers, refer them to the MO HealthNet Fee-For-Service Provider Search engine.