Administrative Care Coordination Unit / Ombudsman Program

​This program provides education and outreach to Medical Assistance (MA) recipients to increase awareness of Medical Assistance Programs.

• Assists beneficiaries to navigate the Medicaid/HealthChoice Program
• Serves as a resource for beneficiaries and providers
• Helps beneficiaries to understand and utilize their Medicaid benefits
• Educates on the importance of preventive health care and appointment compliance
• Assists beneficiaries to re-enter the health care system
• Explains Managed Care Organization (MCO) choices and how to enroll or change
• Educates/assists with the need to select a primary care provider
• Assists with coordination of care, access to services and works with the MCOs to ensure beneficiaries receive covered services
• Assists with billing issues, pharmacy needs, transportation, etc.
• Investigates disputes between beneficiaries and the Managed Care Organizations (MCOs)

• Explains beneficiary appeal and grievance rights​​
  

ACCU-Brochure-Somerset_March-2024.pdf