It is best to select an MCO that your doctor participates with. If
your doctor does not participate in the MCO you select or are assigned to, you
will need to choose another primary care doctor (PCP) to oversee your medical
An MCO is a group of
doctors, clinics, and other health care providers who work together to take
care of HealthChoice members' health care needs.
MCO’s are responsible for providing or arranging for most of your
health care services including most pharmacy services. Some services, such as
mental health and substance use disorder services, and certain drugs are
covered by the State and not your MCO.
The Administrative Care Coordination Unit (ACCU) serves as a local
resource for all HealthChoice members. The ACCU can help with the following:
The ACCU Unit also has an Ombudsman. The local Ombudsman acts as
an advocate for your health care needs. An Ombudsman may contact
you when there are complex medical issues involving care coordination with the
MCO. The HealthChoice Program may also request that an Ombudsman contact
you to ensure that any complaints that you have about your health care or MCO
have been resolved.
Maryland Medicaid HealthChoice Program ACCU/Ombudsman Services Brochure
12501 Willowbrook Road, Cumberland, MD 21502
Toll Free Maryland DHMH: 1-877-4MD-DHMH
TDD Disabled Maryland Relay Service: 1-800-735-2258