443-523-1700

Administrative Care Coordination/Ombudsman Program

Pediatrician consultation mother with daughterThis program provides education and outreach to Medical Assistance (MA) recipients to increase awareness of Medical Assistance Programs.

  • Assists beneficiaries to navigate the Medicaid/HealthChoice Program
  • Serves as a resource for beneficiaries and providers
  • Helps beneficiaries to understand and utilize their Medicaid benefits
  • Educates on the importance of preventive health care and appointment compliance
  • Assists beneficiaries to re-enter the health care system
  • Explains Managed Care Organization (MCO) choices and how to enroll or change
  • Educates/assists with the need to select a primary care provider
  • Assists with coordination of care, access to services and works with the MCOs to ensure beneficiaries receive covered services
  • Assists with billing issues, pharmacy needs, transportation, etc.
  • Investigates disputes between beneficiaries and the Managed Care Organizations (MCOs)
  • Explains beneficiary appeal and grievance rights

ACC Informational brochure 2020

 



Administrative Care Coordination / Ombudsman Program

443-523-1700 Administrative Care Coordination/Ombudsman Program This program provides education and outreach to Medical Assistance (MA) recipients to increase awareness of Medical Assistance Programs. Assists beneficiaries to navigate the Medicaid/HealthChoice Program Serves as a resource for beneficiaries and providers Helps beneficiaries to understand and utilize their Medicaid benefits Educates on the importance of preventive health care…

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Reproductive Health – Family Planning; Pregnancy Testing; STI Services

  443-523-1700 Somerset County Health Department offers a variety of reproductive health services to teens and women of childbearing age, as well as males. Routine GYN exams Screening for cervical cancer (pap smear) Screening for sexually transmitted infections, including testing for HIV Variety of birth control methods, information and education Pregnancy testing, counseling, and referral…

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HIV – Human Immunodeficiency Virus

443-523-1740 HIV/AIDS EDUCATION Public presentations are given upon request to community agencies including schools, churches, social organizations, and businesses. The Health Department regularly participates in community health fairs as a means to provide outreach. HIV information is provided regularly through our Substance Abuse, Family Planning, Healthy Start and Sexually Transmitted Infection programs. HIV/AIDS COUNSELING &…

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