Apple Health (Managed Care) Medical Programs

New in April 2016

Beginning in April 2016, for individuals applying for or renewing Apple Health (Medicaid) coverage and enrolling into a managed care organization, Health Care Authority (HCA) will backdate the effective date of enrollment into a managed care plan to the first day of the month in which a client is eligible. HCA will send additional information in future Provider Alerts.
 
To receive these important Provider Alerts, sign up for GovDelivery.
 

You may also want to visit:

 

How to Enroll in or Change Apple Health (Managed Care) Plans

Apple Health (Managed Care) Enrollment Form (13-862)

Managed Care Contracts and Service Area Maps

Managed Care Enrollment Cut-off Calendar (2015)

Managed Care Enrollment Cut-off Calendar (2016)

Managed Care Home | Our Programs | Public Reports | Fact Sheets

Clients Start Here

(If you receive or want medical help)

Providers Start Here

(Doctors, plans, and interested providers)

 

What is Managed Care?

  • Managed Care is a prepaid, comprehensive system of medical and health care delivery, including preventive, primary, specialty and ancillary health services.
  • The term "managed care" is used to describe a variety of techniques intended to reduce the cost of providing health benefits, improve the quality of care, and deliver health care to enrollees organized around managed care techniques and concepts.

Before you can be in a managed care program, you must apply for services.

Managed Care Programs

Medicaid Plan Selection

Applicants for Apple Health (Medicaid) can now choose their health plan when they enroll. See more information about Medicaid Plan Selection.