Who is not required to enroll in the Managed Care Program?

Some MO HealthNet participants cannot enroll with a MO HealthNet Managed Care health plan because of a medical condition or other reason, and some participants have the option of enrolling with the Managed Care Program if they already receive certain benefits. These participants would instead get their services through the MO HealthNet Fee-For-Service Program.

You may be exempt if you are in one of the following programs:

  • MO HealthNet for People with Disabilities
  • MO HealthNet for the Blind and Visually Impaired
  •  MO HealthNet for Seniors
  •  Aids Waiver Program
  • Breast or Cervical Cancer Treatment Program
  • Uninsured Women’s Health Services Program
  • Have Medicare coverage
You may choose to participate or not participate in the MO HealthNet Managed Care Program if you:

  • Receive Supplemental Security Income (SSI) benefits
  • Meet the SSI medical disability definition
  •  Get adoption subsidy benefit

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