Mississippi CHIP Frequently Asked Questions

Medicare is a federal health insurance program for people who are age 65 or older, disabled persons, or those with end-stage kidney disease. Medicare eligibility is not based on income, and basic coverage is the same in each state.

What documents will I need when I apply for Medicaid?

When you apply for Medicaid, you must fill out an application form. You will also need to have various documents:

• Information about household members (name, date of birth and Social Security number)
• Rent or mortgage information
• Expenses (utilities, daycare, etc.)
• Vehicle information
• Bank statements
• Income (pay stubs)
• Proof of citizenship
• Additional information as requested

What Is A medical home?

Your medical home is the provider you go to all the time.

Why would i want a medical home?

• They have your medical records. This lets the doctor see you faster.
• They know what shots, illnesses and drugs you have had. They know what works best.
• They know your allergies and other health issues.
• They know what behavior and health is normal for you.
• They can answer your questions about previous treatment.

"How is a ""medical emergency"" defined?"

A "medical emergency" is when you reasonably believe that your health is in serious danger – when every second counts. A medical emergency includes severe pain, a bad injury, a serious illness, or a medical condition that is quickly getting much worse.

What should I do if I have a medical emergency?

If you have a medical emergency:

• Get medical help as quickly as possible. Call 911 for help or go to the nearest emergency room, hospital, or urgent care center. You don't need to get approval or a referral first from your primary care doctor or other plan provider.

What is urgent care?

Urgent care is not emergency care. It is care that you need sooner than a normal appointment (within 24 hours). You might need this for things like sprains, mild-to-moderate bleeding, bruises, minor burns, drug reactions or an illness lasting longer than a day. Seek urgent care from a provider in the network. If you require urgently needed care when you are in an area outside of your network, then you may get this care from any provider.

"What if I use non-plan providers to receive services that are ""covered""?"

If you get care from a non-network provider that is not an emergency or that is not urgent without prior authorization, you must pay the entire cost yourself.

How long does enrollment in Mississippi CHIP last?

Your child's enrollment in the Mississippi CHIP program is for 12 months or until your child loses eligibility, whichever comes first. The Mississippi Division of Medicaid (DOM) will tell UnitedHealthcare the date your child is enrolled. Your child’s eligibility will continue until DOM tells UnitedHealthcare the date your child will be disenrolled.

What if our situation changes?

Important — You must contact DOM if any of these things happen:

• Your family moves
  • (If you don't, DOM and UnitedHealthcare won’t have your correct address. This will stop you getting important information about your child's coverage and eligibility.)

  Does CHIP coverage need to be renewed?

  You need to renew or recertify your child's Mississippi CHIP coverage every year. DOM will send you a letter when your child is due for an eligibility review. This letter will tell you what you need to do to renew your child's coverage for another year. If you have questions about the recertification process, contact DOM at 1-866-635-1347.

  When will my child�s CHIP coverage end?

  If your child is disenrolled from the CHIP program, their coverage ends on the last day of the month that their eligibility ends.

  Learn more about Mississippi CHIP

  • FAQs
  • Glossary
  • Links to health information

  Enrollment information

  The Mississippi Children's Health Insurance Plan (CHIP) plan specialists can answer questions and help you enroll.

  7:30 am to 5:30 pm local time, Monday, Tuesday, Thursday, Friday

  7:30 am to 8:00 pm local time, Wednesday

  8:00 am to 5:00 pm local time, First Saturday and Sunday of each month

  You have chosen to enroll in

  This plan is not currently available in the ZIP code entered.

  Get the details

  Visit the Mississippi Division of Medicaid site for more information on eligibility and enrollment.

  Enrollment information

  The Mississippi Children's Health Insurance Plan (CHIP) plan specialists can answer questions and help you enroll.

  7:30 am to 5:30 pm local time, Monday, Tuesday, Thursday, Friday

  7:30 am to 8:00 pm local time, Wednesday

  8:00 am to 5:00 pm local time, First Saturday and Sunday of each month

  You have chosen to enroll in

  This plan is not currently available in the ZIP code entered.

  Get the details

  Visit the Mississippi Division of Medicaid site for more information on eligibility and enrollment.

  Member information

  Already a member? You have access to our member-only website. Print ID cards, chat with a nurse online, and more.

  Member Handbook

  (Opens in new window) PDF 923.55KB - Last Updated: 07/01/2024

  (Se abre en una ventana nueva) PDF 938.92KB - Last Updated: 07/01/2024

  Member information

  Already a member? You have access to our member-only website. Print ID cards, chat with a nurse online, and more.

  Member Handbook

  (Opens in new window) PDF 923.55KB - Last Updated: 07/01/2024

  (Se abre en una ventana nueva) PDF 938.92KB - Last Updated: 07/01/2024

  Individual & Family ACA Marketplace Plans Disclaimer (scroll within this box to view)

  The benefits described may not be offered in all plans or in all states. Some plans may require copayments, deductibles and/or coinsurance for these benefits. This policy has exclusions, limitations, reductions of benefits, and terms under which the policy may be continued in force or discontinued. For costs and complete details of the coverage, review your plan documents, call or write your insurance agent or the company, whichever is applicable. Plan specifics and benefits vary by coverage area and by plan category. Please review plan details to learn more.

  UnitedHealthcare Individual & Family plans medical plan coverage offered by: UnitedHealthcare of Arizona, Inc.; Rocky Mountain Health Maintenance Organization Incorporated in CO; UnitedHealthcare of Florida, Inc.; UnitedHealthcare of Georgia, Inc; UnitedHealthcare of Illinois, Inc.; UnitedHealthcare Insurance Company in AL, KS, LA, MO, NJ, and TN; Optimum Choice, Inc. in MD and VA; UnitedHealthcare Community Plan, Inc. in MI; UnitedHealthcare of Mississippi, Inc.; UnitedHealthcare of New Mexico, Inc.; UnitedHealthcare of North Carolina, Inc.; UnitedHealthcare of Ohio, Inc.; UnitedHealthcare of Oklahoma, Inc.; UnitedHealthcare of South Carolina, Inc.; UnitedHealthcare of Texas, Inc.; UnitedHealthcare of Oregon, Inc. in WA; and UnitedHealthcare of Wisconsin, Inc. Administrative services provided by United HealthCare Services, Inc. or its affiliates.

  This policy has exclusions, limitations, reduction of benefits, and terms under which the policy may be continued in force or discontinued. For costs and complete details of the coverage, call or write your insurance agent or the company, whichever is applicable. By responding to this offer, you agree that a representative may contact you.

  1 Unless otherwise required, benefits are available only when services are delivered through a Designated Virtual Network Provider. Virtual visits are not intended to address emergency or life-threatening medical conditions and should not be used in those circumstances. Services may not be available at all times, or in all locations, or for all members. Check your benefit plan to determine if these services are available. Data rates may apply. Certain prescriptions may not be available and other restrictions may apply.

  2 Tier 2 prescriptions for $5 or less not available on all medications. 3-month fills apply to select maintenance medications only. Applicable formulary requirements such as prior authorization and quantity limits may apply to your pharmacy benefits. Walgreens discount valid until 12/31/24. Discount valid only for in-store purchases of eligible Walgreens brand health and wellness products by current members eligible for the UnitedHealthcare discount program. Discount cannot be used online. For a full list of Walgreens brand health and wellness products and exclusions, please visit www.walgreens.com/smartsavings.

  Last Updated: 08.21.2024 at 10:16 PM CDT

  Disclaimer information (scroll within this box to view)

  Looking for the federal government’s Medicaid website? Look here at Medicaid.gov.

  UnitedHealthcare Dual Complete plans

  Plans are insured through UnitedHealthcare Insurance Company or one of its affiliated companies, a Medicare Advantage organization with a Medicare contract and a contract with the State Medicaid Program. Enrollment in the plan depends on the plan’s contract renewal with Medicare. This plan is available to anyone who has both Medical Assistance from the State and Medicare. Benefits, features and/or devices vary by plan/area. Limitations, exclusions and/or network restrictions may apply. Benefits, premiums and/or co-payments/co-insurance may change on January 1 of each year.

  Premium disclaimer

  Dual Special Needs plans have a $0 premium for members with Extra Help (Low Income Subsidy).

  Benefit disclaimer

  Benefits, features, and/or devices vary by plan/area. Limitations, exclusions and/or network restrictions may apply.

  Nurse Hotline disclaimer

  This service should not be used for emergency or urgent care needs. In an emergency, call 911 or go to the nearest emergency room. The information provided through this service is for informational purposes only. The nurses cannot diagnose problems or recommend treatment and are not a substitute for your provider's care. Your health information is kept confidential in accordance with the law. The service is not an insurance program and may be discontinued at any time. Nurse Hotline not for use in emergencies, for informational purposes only.

  UnitedHealthcare Connected® for MyCare Ohio (Medicare-Medicaid plan)

  UnitedHealthcare Connected® for MyCare Ohio (Medicare-Medicaid plan) is a health plan that contracts with both Medicare and Ohio Medicaid to provide benefits of both programs to enrollees.

  UnitedHealthcare Connected® (Medicare-Medicaid plan)

  UnitedHealthcare Connected® (Medicare-Medicaid plan) is a health plan that contracts with both Medicare and Texas Medicaid to provide benefits of both programs to enrollees.

  UnitedHealthcare Connected® for One Care (Medicare-Medicaid plan)
  

  UnitedHealthcare Connected® for One Care (Medicare-Medicaid plan) is a health plan that contracts with both Medicare and MassHealth (Medicaid) to provide benefits of both programs to enrollees.

  UnitedHealthcare Connected® general benefit disclaimer

  This is not a complete list. The benefit information is a brief summary, not a complete description of benefits. For more information contact the plan or read the member handbook. Limitations, copays and restrictions may apply. For more information, call UnitedHealthcare Connected® Member Services or read the UnitedHealthcare Connected® member handbook.

  UnitedHealthcare Senior Care Options (HMO SNP) plan

  UnitedHealthcare Senior Care Options (SCO) is a Coordinated Care plan with a Medicare contract and a contract with the Commonwealth of Massachusetts Medicaid program. Enrollment in the plan depends on the plan’s contract renewal with Medicare. This plan is a voluntary program that is available to anyone 65 and older who qualifies for MassHealth Standard and Original Medicare and does not have any other comprehensive health Insurance, except Medicare. If you have MassHealth Standard, but you do not qualify for Original Medicare, you may still be eligible to enroll in our MassHealth Senior Care Option plan and receive all of your MassHealth benefits through our Senior Care Options (SCO) program.

  Star ratings disclaimer

  Every year, Medicare evaluates plans based on a 5-Star rating system. The 5-Star rating applies to plan year 2024.

  Important provider information

  The choice is yours

  We will provide you with information to help you make informed choices, such as physicians' and health care professionals' credentials. This information, however, is not an endorsement of a particular physician or health care professional's suitability for your needs.

  The providers available through this application may not necessarily reflect the full extent of UnitedHealthcare's network of contracted providers. There may be providers or certain specialties that are not included in this application that are part of our network. If you don't find the provider you are searching for, you may contact the provider directly to verify participation status with UnitedHealthcare's network, or contact Customer Care at the toll-free number shown on your UnitedHealthcare ID card. We also recommend that, prior to seeing any physician, including any specialists, you call the physician's office to verify their participation status and availability.

  Some network providers may have been added or removed from our network after this directory was updated. We do not guarantee that each provider is still accepting new members.

  Out-of-network/non-contracted providers are under no obligation to treat UnitedHealthcare plan members, except in emergency situations. Please call our customer service number or see your Evidence of Coverage for more information, including the cost- sharing that applies to out-of-network services.

  American Disabilities Act notice

  In accordance with the requirements of the federal Americans with Disabilities Act of 1990 and Section 504 of the Rehabilitation Act of 1973 ("ADA"), UnitedHealthcare Insurance Company provides full and equal access to covered services and does not discriminate against qualified individuals with disabilities on the basis of disability in its services, programs, or activities.

  Referrals

  Network providers help you and your covered family members get the care needed. Access to specialists may be coordinated by your primary care physician.

  Paper directory requests

  Paper copies of the network provider directory are available at no cost to members by calling the customer service number on the back of your ID card. Non-members may download and print search results from the online directory.

  Inaccurate information

  To report incorrect information, email provider_directory_invalid_issues@uhc.com. This email box is for members to report potential inaccuracies for demographic (address, phone, etc.) information in the online or paper directories. Reporting issues via this mail box will result in an outreach to the provider’s office to verify all directory demographic data, which can take approximately 30 days. Individuals can also report potential inaccuracies via phone. UnitedHealthcare Members should call the number on the back of their ID card, and non-UnitedHealthcare members can call 1-888-638-6613 / TTY 711, or use your preferred relay service.

  Declaration of disaster or emergency

  If you’re affected by a disaster or emergency declaration by the President or a governor, or an announcement of a public health emergency by the Secretary of Health and Human Services, there is certain additional support available to you.

  • Part A, Part B, and supplemental Part C plan benefits are to be provided at specified non-contracted facilities (note that Part A and Part B benefits must be obtained at Medicare certified facilities);
  • Where applicable, requirements for gatekeeper referrals are waived in full;
  • Plan-approved out-of-network cost-sharing to network cost-sharing amounts are temporarily reduced; and
  • The 30-day notification requirement to members is waived, as long as all the changes (such as reduction of cost-sharing and waiving authorization) benefit the member.

  If CMS hasn’t provided an end date for the disaster or emergency, plans will resume normal operation 30 days after the initial declaration.