What is the Medicaid Managed Care HMO system?
In an effort to control costs, the state decided to make mandatory the enrollment of individuals into HMOs with whom the state contracted to provide the state’s Medicaid services to some clients. This process has now stalled and only a few counties have begun using the program. Beneficiaries are entitled to the same services under the managed care system that they had been under the Medicaid fee-for service system. Attorneys at the firm have extensive experience litigating these issues, including exemption appeals for denial of coverage or termination of services, and the maintenance of health services during transition to the HMO system.
