Update on the MO HealthNet Managed Care Health Plan Enrollment
HealthCare USA reached the managed care enrollment limit of 65% in the Eastern and the Western regions as specified in the MO HealthNet Managed Care contract, paragraph 2.12.8.
As a result, HealthCare USA will not be offered as a choice for enrollment or receive enrollments through the automatic assignment algorithm. However, HealthCare USA will continue to receive new members as a result of newborn enrollments, reassignments when a member loses and regains MO HealthNet Managed Care eligibility within a sixty (60) day period, when other family or case members are members of HealthCare USA, for the member's continuity of care, or for just cause determined by the state agency.
Home State Health Plan and Missouri Care are continuing to be offered as a choice for enrollment or receive enrollment through the automatic assignment algorithm in the Eastern and the Western regions. HealthCare USA, Home State Health Plan, and Missouri Care are the Managed Care health plan choices in the Central region.