Medicaid managed care bin See the IHCP Quick Reference Guide at in. States have incorporated managed care into their Medicaid programs for a number of PENNSYLVANIA MEDICAID . What is Medicaid managed care? Medicaid is one of the United States’ largest health insurance programs, providing care for almost 90 million people as of August 2023. FAQs Your partner for a healthier life Wellpoint (formerly Amerigroup) has been helping Texas families get the health care benefits they need since 1996. There are three different programs that makeup the Statewide Medicaid Managed Care. All prescriptions should be billed with the information below: BIN: 610164: PCN: DRWVPROD: Questions regarding claims processing should be directed to the Medicaid’s Fiscal Agent’s POS All Medicaid members are assigned a CIN even if they are enrolled in a Medicaid managed care (MMC) plan. September 2011. 3 Immunization Tracker Guidelines for Health Plans . Oklahoma Complete Health is excited to announce that we were selected by the Oklahoma Health Care Authority (OHCA) to administer the state’s Medicaid Managed Care Program, SoonerSelect and the SoonerSelect Children's Specialty Program for youth with foster care or juvenile justice In addition to their Minnesota Health Care Programs (MHCP) ID cards, members enrolled in a managed care organization (MCO) also receive ID cards directly from their MCOs. State Managed Care Enrollment by Program Type, All Eligibles \(Medicaid-only and people dually eligible for Medicare and Medicaid\), as of July 1, 2021 17 . And a brighter outlook, knowing you and your family are covered. to 5 p. , Monday through Friday We can help. CMS recently finalized two key regulations: “Ensuring Access to Medicaid Services” (Access Rule) and “Medicaid, CHIP Managed Care Access, Finance, and Quality” (Managed This brief presents findings from a survey and roundtable discussion of Medicaid managed care plans about the role they may play in the unwinding of the pandemic-era Managed care is the primary Medicaid delivery system in more than half the states. HHSC Managed Care Contracts blood banks, and Community Care Organizations) should enter the eight-digit or nine-digit identification number assigned by ForwardHealth. You will have at least four (4) Health Plans to choose from, depending on where you live. Its longest currently running program, the . Managed care health plans are also able to provide a comprehensive package of preventive health services that, combined with the full range of Medicaid It will require eligible beneficiaries enroll with and receive their Medicaid health benefits through one of two forms of CMS-approved managed care health care delivery models: Managed Care Organizations (MCO), or Medical Homes Networks (MHN). State Medicaid Managed Care Enrollment Data Summary, as of July 1, 2021 13 . Adults with complex medical needs can choose to live and receive care in a home setting instead of a nursing facility. Our MCO members are committed to ensuring providers have appropriate resources to deliver integrated care to Medicaid members across the state. Superior Medicaid (STAR, STAR Health, STAR Kids, STAR+PLUS) and CHIP. • PBMs provide the following services for Florida Medicaid fee-for-service and MMA plans: – Manage the pharmacy network. All Medicaid managed care plans and Fee-for-Service (FFS) use the same Unified Preferred Drug List to help prescribers and members know which drugs are HealthPlus (800) 300-8181 MedImpact Healthcare Systems, Inc. Stat. Denise Napier, President & CEO . All Family Care claims are processed by our TPA, WPS. 101-A1 BIN Number 024888 M NEW! 104-A4 Processor Control Choosing a Managed Care Organization. About Centers for Medicare and Medicaid Services Apply for Medicaid Nevada Check Up DHCFP Leadership HIPAA Requests Manuals Meetings, 2022 Managed Care Contracts. We can help. Office of Compliance and Monitoring Monthly Compliance Reports Health Plan Rx BIN and PCN Numbers and Common Core Formulary (CCF) Fee-for-Service and CCF Service Authorizations ; Fee-for-Service Drug Lookup Tool ; Managed Care Drug Formularies. Washington Apple Health (Medicaid) Primary Insurance BIN PCN Group Number Other coverage code Apple Health Fee-For-Service (FFS) 024822 DRWAPROD CAID N/A Community Health 003858 A4 CHWA N/A Coordinated Care of Washington, Inc. Managed Medical Assistance (MMA) Program, Long-term Care (LTC) Program, and Dental Program. 09. 003858. gov to enroll online Phone: Call 1-833-870-5500 (TTY 1-833-870-5588), 7 a. It offers quality health care and care coordination. The Medicaid managed care MCOs and DMOs provide most of the same benefits that Texas Medicaid provides for Medicaid fee-for-service clients. We appreciate your dedication to serving our Medicaid participants while following our guiding principles. MMP. 1 EOHHS MCO Core Contract Requirements for Reporting Demographic Changes 2020 Policy V1. You can enroll online, over the phone, by mail or by using the mobile app. MeridianRx PCN Phone Fax Email MHPILMCD (Medicaid) 855-580-1688 855-580-1695 info@meridianrx. Agencies A-Z Programs & Services. All calls are toll-free. NHPRI 2017-16 Amendment 16 (Full Contract) NHPRI 2017-01 Amendment 1 (10/03/2018) Base Contract, Addendums, Attachments. com . The term contracted entity is in Nevada Medicaid. Medicaid Only PBM BIN PCN Group Pharmacy Help Desk Commonwealth Care Alliance Navitus 610602 MCD MHO (855) 673 Children’s Medicaid – Children’s Medicaid covers a child up through the month of his or her 21st birthday. 003858 MA 2FEA N/A Health Care uthority . Call us to get answers to your questions about NC Medicaid Managed Care. – Manage the pharmacy benefit (e. care services are provided through managed health care organizations, called MCOs. 340B Additional Information. ** Alert ** Claim Submission Differences . 2FDA. Virginia Medicaid’s MetroPlusHealth’s Medicaid Managed Care Plan provides quality healthcare services for individuals and families who qualify. A peaceful mind. Search To verify your annual choice period, please call Iowa Medicaid Member Services. Managed Care Organization All managed care and fee-for-service Medicaid members are part of the Cardinal Care program. PAMCO and its member MCOs share a common goal of ensuring access to high quality healthcare to our Medicaid members. Following are billing instructions for the Molina Healthcare Medicaid Plans: BIN: 004336, PCN: ADV GRP: RX0546, RX6422, RX6423 Message to Our Health Plans Thank you to our MO HealthNet Managed Care Health Plans for providing quality care to Missourians. 610014. Medicaid Managed Care Policies and Guidelines. Bin 88826 . Dually Eligible Individuals Enrolled in Managed Care by Program Type, as of July 1 The MCO you have now will provide services through June 30, 2024. 522, “The Legislature finds that competition in the managed health care marketplace is enhanced, in the long term, by the existence of a large number of managed health care system options for Medicaid clients. 13. County. 10/30/2024. 1-877-358-8797. RxBIN PCN RxGRP Pharmacy Help Desk Prior Authorization Vendor Drug Program / Superior to Override Timely Filing for Claims Impacted by Texas Medicaid Healthcare Partnership’s (TMHP) Eligibility Verification Issues Rx BIN. Health & Human Services. (Note: You may hear members use phrases such as managed care organizations (MCOs) or provider-led entities (PLEs) to describe the CEs. 273. Managed Care Plan Contact Information Pharmacy Benefit Manager(PBM) or Billing Agent PBM/Billing Agent Contact Information Processor Control Number BIN Number Additional Information Required for Pharmacy Processing; Affinity Health Plan (866) 247-5678; CVS Neighborhood Health Plan of Rhode Island- Medicaid Managed Care Plan Contract. tom CardinalCare Virginias Medicaid Member name: XXXXXXXX Preferred language: English Medicaid ID Pharmacy services for WV Medicaid managed care organization (MCO) members will be administered by the traditional fee-for-service pharmacy program. About. Once you click on each link below, scroll down the page for the contracts and attachments. Online: Go to www. Extended System Outage December 6–8, 2024. Toll Free. 1101 Market Street, Suite 3000 Philadelphia, PA 19107 Phone: 215-845-4747 Fax: 215-849-2348 dnapier@jeffersonhealthplans. Adults in STAR+PLUS get Medicaid healthcare and long-term services and support through a health plan that they choose. The claim requires the BIN, PCN, and Group number for each specific MCO for correct processing. M 4Ø 1-D1 DATE OF SERVICE M 11Ø -AK SOFTWARE VENDOR/CERTIFICATION ID M During the 82nd legislative session, the Division received state approval in its budget to finance the expansion of the Medicaid Managed Care Program to all counties in the State pursuant to Nev. MA. 515-725 The Medicaid Managed Care Enrollment Report provides plan-specific enrollment statistics on Medicaid managed care programs. This Manual also applies to major subcontractors with delegated responsibilities for the provision of all, or part, of any program area or function that relates to the UMIC plans will only include Adult Expansion Medicaid members. Both health care delivery models offer the same benefits as traditional fee-for-service coverage, and Accountable Care Partnership Plans (ACPPs), Primary Care Accountable Care Organizations (ACOs), managed care organizations (MCOs), Primary Care Clinician (PCC) Plan, and MassHealth-only Senior Care Organizations (SCOs). When you enroll in Managed Care, you become a member of a Health Plan. Medicaid Program 2022. , apply prior authorization criteria, provide enrollees with appeal rights). , Monday through Friday BIN and PCN Numbers. The site will be updated on an on-going basis to support Medicaid managed care is administered by MCOs and dental maintenance organizations (DMOs) that are contracted by HHSC to provide services for Me dicaid managed care client s. Ohio Medicaid Managed Care Plan Pharmacy Benefit Administrator, BIN, PCN, Group, and telephone number Specialty Pharmacy name and number Website address for pharmacy information Aetna Better Health CVS/ Caremark Phone: 1-855-364-2975 Medicare/Medicaid Members BIN: 610591 PCN: MEDDADV Group: RX8812 Medicaid Only Partnership and Dual Advantage member claims are processed by our Third-Party Administrator (TPA), Cognizant. Author: Harris, Charity \(HCA\) Created Date: New York Managed Medicaid Plans processed by Caremark will cover COVID-19 specimen collection or CLIA waived COVID-19 testing at pharmacies in accordance with the New York Governor’s Executive Order #202. NYS Medicaid Managed Care Plan Contact and Billing Information 2015 Managed Care Plan. In addition, a pharmacy must enroll before participating in managed care. Members must recertify every STAR (State of Texas Access Reform) is the Medicaid managed care program for Texas CHIP (Children’s Health Insurance Program) is the children’s health (BIN): 011552 PCN: TXCAID 22. I want to apply. About Healthy Blue. 800-256-6533 . Links to the PBMs for managed care programs can be Medicaid Managed Care Program Help Line. Hearing Impaired (STAR/CHIP): 1-800-735-2889 Hearing Impaired (STAR Kids): 1-800-267-5008. Welcome to health plans that care for all of you and everything that really matters. Anthem Blue Cross and Blue Shield (Anthem) MaineCare provides health care coverage for Maine’s children and adults who are elderly, disabled, or with low incomes. This expansion will begin on January 1, 2026, with the implementation of the next Managed Care Contract Period, resulting in Straight Medicaid and Managed Medicaid are both state and federally-funded programs aimed at providing health insurance coverage for low-income individuals. Integrated Medicaid Managed Care Health Plans. The CIN is located on all member cards including MMC plan cards. Per RCW 74. This means they need to be in your managed care health plan network. 2 EOHHS Provider Termination and Network Changes 2020 Policy V1. MANAGED CARE DIRECTORY . Please call the YourTexasBenefitsCard Provider Help Desk at 1-855-827-3747, United Healthcare MMP . We appreciate your dedication to serving our Medicaid participants while following our guiding principles Through managed care, New Jersey beneficiaries have better access to healthcare providers and care coordination than they would have through Medicaid's traditional fee-for-service program. com This Manual applies to MCOs contracted by LDH to provide coverage for services to Louisiana Medicaid managed care program enrollees, effective January 1, 2021. 610097 8500 MMPTX 877-889-6510 . If you have a specific billing and/claims inquiry, please call 1-855-878-6699 to speak with a claims representative. BIN: 024251 PCN: OHRXPROD Unified Preferred Drug List. 340B Program & Kansas Medicaid. gov or go to the Office of Family Independence (OFI) webpage for more options. Company PBM BIN PCN Group Pharmacy Helpdesk Eligibility Helpdesk Override Process Absolute Total Care US Script 008019 Leave Blank Leave Blank 800-460-8988 866-433-6041 No code necessary - Call the Pharmacy Helpdesk for a 5 day supply General Medicaid fee-for-service pharmacy information or assistance: 803-898-2876 Report fraud and abuse STAR+PLUS is a Texas Medicaid-managed care program for adults who have disabilities or are age 65 or older. Processor Control Number (PCN) Managed care is a kind of health insurance program. Cardinal Care Managed Care Expand sub pages Cardinal Care Managed Care. Ready to apply or to see if you may be eligible for MaineCare? Apply online at MyMaineConnection. Plan-specific data include:Plan nameManaged care entityReimbursement arrangementOperating Ohio Medicaid Managed Care Plan Pharmacy Benefit Administrator, BIN, PCN, Group, and telephone number Specialty Pharmacy name and number Website address for pharmacy information Aetna Better Health CVS/ Caremark Phone: 1-855-364-2975 Medicare/Medicaid Members BIN: 610591 PCN: MEDDADV Group: RX8812 Medicaid Only Overview of Current Managed Care Programs . Enrollment Information. Profile of Medicaid Managed Care Programs in 2010. If you have a specific billing and/claims inquiry, please call 1-800-223-6016 to Health First Colorado Managed Care Contracts Regional Organizations. Medicaid managed care provides for the delivery of Medicaid health benefits and additional services through contracted arrangements between state Medicaid agencies and managed care organizations (MCOs) that accept a set per member per month (capitation) payment for these Although MCOs provide comprehensive services to beneficiaries, states may carve specific services out of MCO contracts to fee-for-service systems or limited benefit plans. However, there has been significan The Medicaid managed care final rule improves transparency by requiring states and managed care plans to provide and maintain specific content on a public website that is accessible to CMS has updated regulations for Medicaid and CHIP Managed Care in 2016, 2017, 2020 and 2024. Enrollment & Eligibility Contact – Maryland Health Connection 1-855-642-8572 MARYLAND Deaf and hard of hearing use relay service Department of Health We’re here to help you take care of yourself—in every way. Children with Special Health Care Needs (CSHCN) Services Program; Healthy Texas Women (HTW) Kidney Health Care (KHC) Program; Pharmacy providers must enroll with Texas Medicaid before providing any outpatient pharmacy prescription services. Differences lie in service delivery and provider flexibility. 3. , a MO HealthNet Managed Care health plan contracting with the Missouri Department of Social Services - Healthy Blue is administered statewide by Missouri Care, Inc. ARHOME encourages you to be an active partner with your health care plan and work together to reach your health and well-being goals. Local Des Moines. 14 Drugs Covered Under Fee-for-Service Medicaid for Recipients with Medicaid Managed Care (MCO Carve ANSI BIN # 001553 Processor Control # NVM Provider ID # National Provider Identifier Cardholder ID # NV Medicaid Pharmacy ID Number MMP = Medicare-Medicaid Plan for dual-eligible members. Kaiser Commission on Medicaid and the Uninsured. Region 1 - Rocky Mountain Health Plan; Region 2 - Northeast Health Partners; Region 3 - Colorado Access; Improve health care equity, access and outcomes for the people we serve while saving Coloradans money on health care and driving value for Colorado. gov/medicaid/providers for contact information. Training and resources for providers are continuously developed by MCOs and shared here. 515-256-4606. Link to email Provider Network Managers. Oregon Medicaid Pharmacy Quick Reference (effective January 1, 2024; updated April 3, 2024) Plan PBM Phone BIN PCN Group OHA (Fee -for-Service or “Open Card”) 888-202-2126 014203 ORDHSFFS Jackson Care Connect 866-843-5126 610011 IRX CORMCAID Moda Health 800(COFA Dental and Veteran population is served by managed care. 0, the BIN number is required in field 101-A1 and is "004740". Office of the CMS Managed Care Plan 4052 Bald Cypress Way, Bin A06 Tallahassee, FL 32399 Statewide Medicaid Managed Care (SMMC) is the program where most Medicaid recipients receive their Medicaid services. § 422. Rx PCN. Effective May 1, 2021 the pharmacy benefit for New York State Medicaid Managed Care members will be transitioned to NYS Medicaid Fee-for-Service (FFS). Milwaukee, WI 53288-0826 (855) 260-8740 . Vision Benefit Manager: Contact Information . Rev. On April 1, 2023, Medicaid members enrolled in mainstream Managed Care (MC) plans, Health and Recovery Plans (HARPs), and HIV-Special Needs Plans (SNPs) had their . Table 3. 90-Day Maintenance Drug List (PDF) Apply for KanCare. STATE Fair Hearing & External Medical Review. Phone: 1-833-870-5500 (TTY: 711 or RelayNC. Managed Care Health Plans. The managed care enrollment report includes statistics, in point-in-time counts, on enrollees receiving comprehensive and limited benefits. Services frequently carved out include behavioral health, pharmacy, dental, and long-term services and supports (LTSS). Use the chart to help pick your MCO. If you disagree with our internal appeals decision to cover a health care service, you can ask for a State Fair Hearing. Member Services . pharmacy benefits transitioned to NYRx, the NY Medicaid The NY Medicaid BIN number is BIN 004740. com) Hours of operation: 7 a. to 7 p. in cooperation with Blue Cross and Blue Shield of Kansas City. National Committee on Quality Assurance. g. Healthy Blue is a Medicaid product offered by Missouri Care, Inc. Members are instructed to show both ID Medicaid PMAP 018315 MNM Itasca Medical Care – PMAP 004336 MCAIDMN Medica – PMAP 003858 MA Medical/Hospital: Molina Healthcare PO 22637, Long Beach, CA 90801 pharmacy: Molina Healthcare Union Park Center, Suite 200 Midvale, 84047 General mailing address: Molina Healthcare 3829 Gaskins Rood Richmond, VA 23233 MolinaHeal'hcore. For detailed information please visit the pharmacy carve-out website . That income level is different based on age and Medicaid program. Integrated Molina 1-888-483-0760. With no premiums, no deductibles, and a wide range of covered benefits – including doctor visits, prescriptions, preventive care, and hospital stays – this plan ensures comprehensive coverage at little to no cost. Resolved: Issues With Electronic Claims Submission for MCO Forward Claims and LTC TMC Claims View . Medicaid Managed Care Handbook, Texas Medicaid Provider Procedures Manual (Vol. The PCN On July 1, 2022, Magellan Medicaid Administration Inc. Integrated SelectHealth 1-800-538-5038. From the Centennial Care MCOs, Blue Cross Blue Shield of New Mexico (BCBSNM) and Presbyterian Health Plan (PHP) will continue to provide services after June (Molina Healthcare or Molina) Medicaid . SoonerSelect allows for the delivery of Medicaid health benefits and more services through contracted arrangements between state Medicaid agencies and contracted entities (CEs). 1-800-338-8366. PCN List for BIN 610241 MeridianRx PCN Group ID Line of Business MHPILMCD N/A Medicaid Pharmacy Help Desk Information Inquiries to MeridianRx may be directed to our 24-hour Pharmacy Assistance Center. Additional information on all updated Medicaid and CHIP Managed Care Final Rules is This Data Collection, the Medicaid Managed Care Tracker, provides information related to risk-based Medicaid managed care organizations (MCOs) that provide comprehensive services, Minnesota Health Care Programs providers billing for prescriptions for members in managed care organizations (MCOs) need to use the MCO's identification bin and PCN information. A non-participating provider is a provider Nevada Department of Health and Human Services, Division of Health Care Financing and Policy (DHCFP) for the Nevada Medicaid Fee-For-Service. • Pharmacies, Durable Medical Equipment, Prosthetics, Orthotics and Supply Providers, and Prescribers That are Not Enrolled in Medicaid Fee-for Learn more about Medicaid Managed Care in North Carolina. Integrated Healthy U 1-833-981-0212. Healthy Blue is our health plan for Medicaid members. Information on Cardinal Care Managed Care, and historical information on the Commonwealth Coordinated Care Plus (CCC Plus) and Medallion 4. The call is toll free. 2, Provider Handbooks) Recent News. Straight Medicaid operates via a fee-for-service model, paying healthcare providers directly per rendered service, whereas Managed Medicaid Partial LTC HF 04003696 Healthfirst PHSP Person Wellness Plan (866) 463-6743 HARP HI 04082293 HIP of Greater NY (646) 447-5000 HARP HT,98,99 00313979 HIP of Greater NY (646) 447-5000 Mainstream ILLINOIS MEDICAID NCPDP VERSION E1 PAYOR SHEET E LIGIBILITY V ERIFICATION R EQUEST ** Start of Request Eligibility Verification (E1) Payer Sheet ** GENERAL INFORMATION . In July 2011, almost all Medicaid beneficiaries in Colorado were enrolled in some form of managed care. 24. Updated: March 2025 . Integrated Health Choice. and in Kansas City service region by Missouri Care, Inc. Some plans may also offer Sources: Centers for Medicare and Medicaid Services (CMS), National Summary of State Medicaid Managed Care Programs as of July 1, 2011. Table 2. Since 1933, Blue Cross and Blue Shield of North Carolina (Blue Cross NC) has helped millions of North Carolinians get and stay healthy. Express Scripts. m. 800-711-4555 . Managed care; Medicaid Administrative Claiming; Mobile Crisis Response Endorsement Program; Programs: O-P Partnership Access Lines; Peer support; Pharmacy services; Preadmission screening & resident review; Prescription drug discount card; Primary Care Practice Recognition; Health) Medicaid Choice or Rocky Mountain Health Plans Prime, your providers must be participating providers. (800) 788-2949 58080 (HNY03-Health Plus NYS Medicaid) 003585 Medicaid Group: HCP9198, Family Health Plus Group: FHP9198 HIP Health Plan of New York (HIP) (800) 447-8255 EmblemHealth Pharmacy Benefit Services (EmblemPBS)/ HIP Health Plan of NY Member: (888) 447-7364 Changes to managed care pharmacy benefit managers coming January 1, 2017 As announced in Indiana Health Coverage Programs (IHCP) Bulletin BT201666, effective January 1, 2017, the IHCP will Pharmacy Claims BIN PCN RX Group IHCP Fee-for-Service 1-855-577-6317 OptumRx 1-855-577-6317 1-855-577-6317 001553 INM Not required Anthem Healthy Indiana Oncology Services - Medicaid Managed Care and HealthierLife (Effective 12/1/2023) Oncology Services - Medicaid Managed Care and HealthierLife (Effective 11/1/2023) Oncology Services - Medicaid Managed Care and HealthierLife (Effective 10/1/2023) Oncology Services - Medicaid Managed Care and HealthierLife (Effective 9/1/2023) WA State Managed Care Organizations Provider Resources. We work with thousands of doctors, specialists, and hospitals throughout North Carolina, and we partner with many local organizations to help you get the care and Introducing Oklahoma Complete Health - Your Partner for Success. gov Mailing Address. Managers (PBMs) to manage their pharmacy benefit and/or pharmacy network. These Medicaid health plans provide health care coverage to more than two million Medicaid recipients across the Commonwealth. In a managed care delivery system, whose goal is to focus on prevention, primary Managed Care Pharmacy Benefit Managers Pharmacy providers can contact the IHCP member’s MCE (or its associated PBM) for questions about pharmacy services covered under the managed care pharmacy benefit. Skip to main content Official State of Iowa Website. A healthy Arkansas is a thriving Arkansas! If you have any questions about your health care coverage, Table 1. ncmedicaidplans. (MMA) will assume administrative operation of the (PBM) on behalf of the State of Nevada Department of Health and Human Services, Division of Health Care Financing and Policy (DHCFP) for Nevada Medicaid Fee-For-Service. Rx Group. A network is a group of providers who are contracted to give health care services and products to health plan members. 2. PBM. Beginning July 1, 2022, all new pharmacy claims must be processed using MMA’s RxBIN and RxPCN assigned numbers , which are included in the table below. Colorado has used both MCO and PCCM managed care delivery models for over three decades. Regulations. (BIN) and Processor Control Number (PCN): For submitting FFS claims to Medicaid via NCPDP D. Fax. 12/19/2024. Income determines eligibility. So you’re able to move forward with a stronger body. The HealthChoice Illinois Managed Long-Term Support and Services (MLTSS) plan Molina Healthcare of Illinois, Inc. Pharmacy Services Continued The Formulary and clinical Pennsylvania's Medicaid Managed Care Organizations are working in communities across Pennsylvania. 0 Managed Care Programs (ended in 2023). Payer Name: Illinois Medicaid Enterprise Date: March 14, 2Ø17 Plan Name/Group Name: Illinois Medicaid BIN: Ø178Ø4 PCN: ILPOP Processor: Change Healthcare (CHC) CMS Plan 850-245-4200 CMSPlan@flhealth. Iowa Medicaid Member Services. , Monday through Saturday Mobile app: Get the free mobile app by searching for NC Medicaid Managed Care on Learn more about Managed Care Organization (MCO) and Fee-For-Service (FFS) Billing Codes. NHPRI 2017-02 Amendment 2 (02/15/2019) Base Wellpoint is a managed care plan for Medicaid and CHIP health care benefits in Texas. ioi wglj zyx voomfx nsdft wpvacwdl yxihr eucsu uayyfnt zlpw apq eoxyo wpvs uvelfg pkb