Mandatory Passages and Language for MC+ Managed Care Health Plan Handbook, page 10
Care You Can Get Using The Red MC+ Card
You can get some health care that is not covered by your MC+ Managed Care health plan. These services are covered by MC+ Fee-for-Service using MC+ approved providers. Your health plan can help you find an MC+ approved provider for that care. Please let your Primary Care Provider (PCP) know about the care you get. This helps your PCP take care of you. This care may include the following:
- Children's Mercy Family Health Partners' members will get pharmacy using the Red MC+ card
- Therapy services for children in a school Individual Education Plan (IEP) or Individualized Family Service Plan (IFSP). Parents, the school, or the Department of Mental Health may start an IEP or IFSP.
- Visits by a health worker to see if lead is in your home.
- Bone marrows and organ transplants.
- SAFE/CARE exams for abused children.
- Children who are in Alternative Care or get Adoption Subsidy get mental health care through MC+ Fee-for Service using MC+ approved providers. These children get their physical health care from their health plan.
- Community Psychiatric Rehabilitation is a special program run by the Missouri Department of Mental Health for the seriously mentally ill or seriously emotionally disturbed.
- Drug and alcohol treatment from a Comprehensive Substance Treatment and Rehabilitation (CSTAR) provider. Call your health plan for a list of CSTAR providers.
- Protease Inhibitors (drugs for persons with HIV/AIDS).
- Targeted case management for mental health services.
- Abortion - (termination of a pregnancy resulting from rape, incest, or when needed to save the mother's life).
- Dental for Adults - dental services that are only related to disease or a medical condition.
- Dental for Women in a MC+ category of assistance for pregnant women - All MC+ Fee-for-Service covered dental services except for services related to trauma.
- Eyeglasses for Women in a MC+ category of assistance for pregnant women.
