How to Get the Most Out of Your Managed Care Organization Medicaid Benefits

If you have Medicaid in Maryland, you probably get your care through a Managed Care Organization (MCO). An MCO helps you stay healthy by ensuring access to primary care and specialty care doctors, hospitals,  medicine, and more, so you get the care you need, when you need it. In Maryland, Medicaid health plans are called Maryland MCOs. When you sign up for Medicaid, you pick a plan from a list of approved options. Each plan is a Maryland Managed Care Organization that works with providers in your area. That plan becomes your go-to for accessing care. Let us walk you through how it works and how you can use your MCO benefits to feel your best.

What Do Maryland Managed Care Organization Plans Cover?

Your Medicaid Managed Care Organization benefits include a wide range of care at no cost to you such as:

• Visits to your primary doctor
• Visits to specialists (like heart or skin doctors)
• Emergency room care when you are sick or hurt
• Lab tests, X-rays, and prescriptions
• Checkups for babies, kids, and teens (EPSDT)
• Prenatal care during pregnancy and help after birth
• Immunizations (shots)
• Family planning
• Vision care

  Some services, like dental care or mental health, are handled by the state or other programs, but MCOs can help guide you to the right place for these services.

Tips to Use Your MCO Benefits

Here are easy ways to take full advantage of your MCO Medicaid benefits:

Book Regular Checkups

Even if you feel fine, checkups help catch problems early. Children should get well visits, lead tests, and shots on a regular schedule. Adults should get annual physicals and screenings, too.

Get Your Vaccines

Ask your doctor about important vaccines to protect you and your family from serious illnesses.

Choose a Doctor in Your Network

Use your plan’s provider list to find a doctor who works with your Maryland MCO. This helps you avoid surprise bills.

Use Free Transportation, If Needed

If you don’t have a ride, call your local health department to ask about Non-Emergency Medical Transportation (NEMT). If you qualify, you can get a free ride to your covered appointments. Jai Medical Systems also offers free transportation to and from your primary care appointments. 

Keep Using Your Benefits if You Switch Plans

If you change your MCO, you may be able to keep your current treatment or medicine for up to 90 days. Let your new plan know right away so care does not stop.

Why Pick Jai Medical Systems?

At Jai Medical Systems, we have served Maryland families since 1997. We know your community. We know your needs. And we are here to help you get the most from your MCO benefits. Here is why so many Marylanders choose us:

• Jai Medical Systems has earned Medicaid Health Plan Accreditation from the National Committee for Quality Assurance (NCQA).  Currently, our plan is rated a 4 out of 5 by NCQA.  In addition, we have earned Health Equity Accreditation from NCQA. 
• We have a comprehensive provider network. 
• We offer a Healthy Rewards Program to reward you for taking care of important preventative healthcare. 
• We offer free health education classes and online resources to help manage your care.
• We have a 24/7 Nurse Advice Line when you have health questions.
• We work closely with you to help you stay healthy year-round.

If you are a member of Jai Medical Systems, we can help you find a provider, make an appointment, or learn about your benefits.  Call our friendly and knowledgeable Customer Service team today at 1-888-524-1999.   Not a member, but want to learn more about Jai Medical Systems?  Call us at 1-888-JAI-1999.