You can choose to enroll in MSHO if you:
In MSHO, you will get the same services as MA and Medicare, including:
Your MSHO health plan may offer additional services.
After you enroll in MSHO, you will be assigned a care coordinator. The care coordinator will help answer your questions, work with your doctors to help you get the care you need, and help your doctors and other providers share information with each other.
If you had a county case manager for home and community-based services before enrolling in MSHO, in most cases, the care coordinator will replace the case manager.
There is no cost to be in MSHO. If you have copays, spenddowns or other obligations, you still need to pay those.
MSHO offers the same basic benefits as Medicare and MA, but with MSHO you don't have to go to different offices for your health care needs or fill out a lot of paperwork. All of these services are combined into one program.
Your MSHO health plan is responsible for making sure you get the health care, as well as home and community-based services you need. Your health plan also will handle most of the paperwork for MA and Medicare.
Your MSHO health plan will also assign a care coordinator to you. A care coordinator can help answer your questions and help you get the health care and other services you need. The care coordinator also makes sure all of your providers, such as your primary care doctor, physical therapist, home care and hospital staff, are in contact with each other.
If you want to keep seeing your regular doctor, review the list of doctors who are part of each MSHO health plan's network. You can sign up for the health plan in which your doctor participates.
If your doctor is not listed with any of the MSHO health plans and you want to keep seeing that doctor, you may not want to enroll in MSHO.
Yes. You may be assigned a nurse practitioner who will serve as your coordinator for primary care and other services. The nurse practitioner works with your doctor, nursing home and other health plan staff.
You can drop MSHO at any time. Just write a letter to your MSHO health plan telling them that you want to drop the program. You will be taken out of MSHO at the beginning of the next month. You cannot drop out of the program by calling. You must send a letter.
When you leave MSHO:
MSHO was created by the Minnesota Department of Human Services (DHS), the state agency that oversees public health care programs. The program is overseen by DHS and the federal Centers for Medicare & Medicaid Services and administered by health plans.