In Virginia's Medicaid Managed Care program, you are a member of a Managed Care Organization (MCO). An MCO is a health plan with a group of doctors and other providers working together to give health services to its members. Your MCO will cover all Medicaid services you get now, including medical services, behavioral health services, nursing facility services and “waiver” services for community-based long term care. All MCOs meet Affordable Care Act (ACA) requirements. At Iowa Total Care, we want to make it easy for you to find a doctor to match your health care needs. That is why we give you three simple ways to locate a provider in our network. Show Provider availability is subject to change. If your doctor is not with us yet, let us know. We will work to get them added to our network. An authorization or referral may be required to access some providers. OnlineUse our Find a Provider Tool - This is our most frequently updated list of providers. In Our Provider DirectoryUpdated monthly
By PhoneCall Member Services at 1-833-404-1061 (TTY: 711) to request a printed copy or to get help finding a doctor/provider. Sunshine Health offers electronic provider directories based on your plan. Some providers may not perform certain services based on religious or moral beliefs. Click on your network below to start a search. Please Note: A new browser window will open. If you need help finding an in-network provider, please call Member Services at the number on the back of your ID card. We will help you. Search for Health First Colorado or Child Health Plan Plus doctors, waiver services, pharmacies, and other providers. For behavioral health services please contact your regional organization. When starting a new search be sure to click the blue X in the upper right of the search filters to see the updated search results. To find a doctor that accepts Medicare payments, you may want to visit the Centers for Medicare and Medicaid Services' Physician Compare. You can search by entering a health care professional’s last name or group practice name, a medical specialty, a medical condition, a body part, or an organ system. This tool will provide you with a list of professionals or group practices in the specialty and geographic area you specify, along with detailed profiles, maps and driving directions.Please note that Physician Compare only lists professionals that accept Medicare. Although some may also accept Medicaid, it does not have information about which professionals do accept Medicaid. Medicaid programs vary by state and each state Medicaid agency maintains their own list of professionals that accept Medicaid. For further assistance, please contact your health plan or state Medicaid agency. For more information about Medicaid, visit the Medicaid & CHIP page on Healthcare.gov. If you have trouble accessing the Physician Compare website, please call 1-800-MEDICARE and a representative will be able to run the search for you. They can also send you a print version of the search results.
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