Internal medicine doctors that accept medicaid near me

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Table of Contents Show

NC Medicaid Managed Care – Mandatory
NC Medicaid Managed Care – Exempt
NC Medicaid Managed Care – Excluded (NC Medicaid Direct)
How do I find Medicaid providers in my area?
What covers internal medicine?
Can doctors refuse Medicaid patients?
How do I find Medicare doctors in my area?

Alabama Care Network Mid-State is focused on three specific quality improvement projects to partner on with our providers – substance abuse, prevention of childhood obesity, and infant mortality. You can read more about those projects below.

On this page, we have also included provider agreements for providers who want to participate with us in the Alabama Coordinated Health Network program as well as links to certain forms and documents from Alabama Medicaid’s site that we think you will find useful.

Quality Improvement Projects

We are currently in the process of developing our Quality Improvement Projects with multiple partnering groups. We will have more information on those projects in the coming months and will include that information here when finalized.

Continuing Education

Continuing Education about the stigma associated with substance use is now available to Medicaid providers. To learn more, click the link below.

Medical Management Meetings

To be an active participant in Alabama Care Network Mid-State, a provider or provider group must regularly attend the organization’s medical management meetings. To learn more, see below.

Our Alabama Care Network Mid-State Provider Agreements

Care Coordination Referral Form

Refer a patient to Alabama Care Network Mid-State by using the online form linked below.

Useful Medicaid Links

Find a Provider

Search for Providers by Name, Provider Type, Language or Location.

Provider Search

Fee for Service

Medicaid members who are served through the fee-for-service program and are not enrolled in a managed care health plan can search for participating Medicaid providers through the provider portal.

Find a Provider

Provider Search

Managed Care Organizations (MCOs)

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.

Find a Provider - MCOs.

Visit your enrollment website for help finding a provider in your health plan:

CCC Plus

Medallion 4

As a Medicaid or NC Health Choice beneficiary, you fall into one of three categories:

NC Medicaid Managed Care – Mandatory

To learn more about NC Medicaid Managed Care, go to the NC Medicaid Managed Care Website.
Most beneficiaries receiving Medicaid or NC Health Choice will be required to transition to NC Medicaid Managed Care. This means you must choose a health plan and a Primary Care Provider (PCP). If you must choose, NCDHHS - Division of Health Benefits will send you a letter that tells you how to transition to Managed Care. You will be required to transition to NC Medicaid Managed Care if you:

Receive full benefits through the Family and Children’s or the Aged, Blind and Disabled Medicaid programs, or through the NC Health Choice or Medicaid for Pregnant Women program.

NC Medicaid Managed Care – Exempt

Some beneficiaries can choose to stay in NC Medicaid Direct. This means you are not required to choose a health plan and a PCP. NCDHHS - Division of Health Benefits will send you a letter that tells you if you have the choice to enroll. You have the option to choose a health plan if you:

Are a federally-recognized tribal member or individual eligible for services through Indian Health Service (IHS).
Need certain services to address needs related to developmental disability, behavioral health or traumatic brain injury. BH covers MH and SUD

NC Medicaid Managed Care – Excluded (NC Medicaid Direct)

Some beneficiaries will remain in NC Medicaid Direct, which is the “fee-for-service” program. This is how you receive health care services now. This means you cannot choose a health plan and you do not need to choose a new PCP unless you want to change to your current PCP. You will stay in NC Medicaid Direct if you:
- Receive Family Planning Medicaid, Refugee Medicaid, Foster Care/Adoption Medicaid , or must meet a deductible before getting Medicaid benefits
- Are part of the Health insurance premium payment (HIPP) or Program of all-inclusive care for the elderly (PACE) programs, or
- Have both Medicare and Medicaid or receive long-stay nursing home services,
- Receive Innovations Waiver services, Traumatic Brain Injury (TBI) Waiver services, or Community Alternatives Program for Children (CAP/C) or Community Alternative Program for Disabled Adults (CAP/DA) services.

Contact

How do I find Medicaid providers in my area?

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.

What covers internal medicine?

The specialty of internal medicine covers a wide range of conditions affecting the internal organs of the body - the heart, the lungs, the liver and gastro-intestinal tract, the kidneys and urinary tract, the brain, spinal column, nerves, muscles and joints.

Can doctors refuse Medicaid patients?

When uncovered costs become too great, physicians are ethically justified in refusing to accept Medicaid patients, according to Sade. “If they do accept such patients, however, they are ethically obligated to offer them the same care as they do for all of their patients,” Sade says.