MC+ Managed Care Program — Eastern Region

The Division of Medical Services of the Missouri Department of Social Services contracts with managed care organizations to deliver services through the MC+ Managed Care program. The program is based on a capitated payment made on a per-member, per-month basis in 37 counties in the central, eastern and western regions of the state. Managed care was implemented in the eastern region in September 1995, in the central region in March 1996 and in the western region in January 1997.

Providers are reimbursed on a fee-for-service schedule for services provided to Medicaid-eligible elderly and disabled persons in these counties and for services not included in the MC+ benefit. Recipients in categories of Medical Assistance for Families, Pregnant Women and Children are enrolled in the MC+ program in those regions. More than 344,000 individuals currently are enrolled in the MC+ program. Services are provided through a fee-for-service arrangement in the remaining 78 counties.

Eastern Counties in the MC+ Managed Care Program

MC+ Managed Care Program