IM-029 – MANAGED CARE AND MEDICARE

TO:  ALL FAMILY SUPPORT OFFICES

FROM: PATRICK LUEBBERING, DIRECTOR

SUBJECT:  MANAGED CARE AND MEDICARE

 

MANUAL REVISION #20

1805.060.00

 

DISCUSSION:

The purpose of this memorandum is to clarify eligibility for individuals enrolled in Medicare. Individuals enrolled in Medicare cannot also receive 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 requesting the coverage.  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. 

 

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.

 

PL/df