is a program which covers medical expenses for certain groups of
people who have limited income and resources. Eligibility for Medicaid
programs is determined by the Department of Workforce Services (DWS).
Medical services are
paid for by health plans or the Fee for Service Network. Click on the County Choice Charts and select the county you live in. You will see what options you can choose. A Health Program Representative (HPR) will help you make a health plan selection.
For more information about choosing a health plan, contact an HPR.
Services available will vary based on the program for which the person qualifies. There are two different coverage plans: Traditional Medicaid and Non-Traditional Medicaid. (PCN is listed seperately.) Each plan has a different scope of services that it covers. Even if a service is covered, the amount or duration
of the services may be limited. Most people are required to pay a co-payment for certain services. For more information about limitations and co-pays, see the Medicaid Member Guide.