about Medicaid Enrollment
that your new infant will be coming home from the hospital, you need to be aware
of your healthcare choices under the Medicaid program.
The hospital should have started an application for your child shortly
after the time of birth. If you are
receiving a medical card for yourself, your new child should be added to that
same medical card. Because you have
a new family member who will become part of the Medicaid system, this is a good
time to give you a few facts about your program options.
In addition, you need to know that if your child is receiving SSI, he or
she may not be enrolled in an HMO but must be covered by a straight Medicaid
plan. Therefore, if your child is on
SSI and on an HMO, contact the HMO immediately to have them removed.
following is a list of information you should consider when finalizing your
child’s medical plan.
Medicaid program provides coverage for your child’s healthcare costs and
there are different medical plans available within the Medicaid system.
medical plan is straight Medicaid. Enrollment
in straight Medicaid allows you to see any doctor that you choose, so long
as that doctor accepts Medicaid.
other medical plan is a Medicaid HMO. Enrollment
in a Medicaid HMO will allow you to see only those doctors that are part of
the particular HMO network. They
will not pay for medical costs from doctors you see who are outside of their
network, without a referral from one of their own network doctors.
are many different types of Medicaid HMOs, with a variety of different
names. You may sign up for these
different HMOs in a variety of places such as grocery stores, malls and
parking lots. They may approach
you by offering a free pamper program. While
their medical program may provide you with free pampers or other incentives,
it is also important to know that it may change the doctors that you and
your family are able to see. If
your current doctors are not in the HMO network that you sign up for, you
will no longer be able to see them.
you are already enrolled in a Medicaid HMO and want to return to a straight
Medicaid plan, you will need to disenroll from the HMO by contacting them
directly. This often takes as
much as 60 days to complete.
Minerva Esparza, NICU Social Worker, at 773.257.5708 or
Laura Barnickol, Heath & Disability Advocates, 312.223.9600