Medicare Special Needs Plan

Description: Providers of Medicare Advantage health care plans approved by Medicare that accept applications for enrollment in specialized plans that focus on individuals with special needs, i.e., people who are institutionalized or who reside in the community but require an equivalent level of care as those residing in a long term care facility; people with both Medicare and Medicaid (dual eligibles); and/or people who have severe or disabling chronic conditions (e.g., cardiovascular disease, diabetes, congestive heart failure, mental disorders, end stage renal disease, and HIV/AIDS). (AIRS NS-8000.500-480.60)

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Disclaimer...
Note: Service listings do not represent a recommendation or endorsement by the Medical Home Portal staff or its sponsoring organizations; nor do they reflect any assessment of the quality or value of a listed Service.

UT

Provo, UT

Volunteer Center
Provo, UT 84601
Phone: 801-373-7850
Service Categories:
Organization Name: Utah Valley Regional Medical Center
Address: Volunteer Center
Provo, UT 84601
Phone: 801-373-7850
Service Categories:
Original Source:
Last Updated: 4/22/2015

Salt Lake City, UT

100 NoMario Capecchi Drive
Salt Lake City, UT 84113
Phone: 801-662-6721
Organization Name: Primary Children's Hospital and University of Utah Medical Group
Address: 100 NoMario Capecchi Drive
Salt Lake City, UT 84113
Phone: 801-662-6721
Email: PCHICCTReferral@imail.org
Eligibility: Available for children with multiple, complex chronic illnesses. A medical team evaluates kids ages 0 to 17 for program enrollment. Any insurance provider accepted. Referrals welcome. Salt Lake County, southern portion of Davis County.
Wheelchair Accessible: yes
Services Provided: Connector Services assists patients and families with scheduling and support services, including home visits by a registered nurse. Three or more chronic illnesses, such as: cerebral palsy, neurologic impairments, feeding issues, or vision/hearing impairment. A multi-disciplinary team assists children who have multiple, complex chronic illnesses. Interventions, including home visitation, help support the family so children can grow healthy in their home environments. Facilitating communication among providers is an essential objective. Shared Plan of Care.
Provider Profiles: A University of Utah continuing formal research study.
Dr. Colleen Marty, Pediatrician
Christy Aubert, PA
Karine Romero, RN, Care Manager
Sommon Ameri, Transitionist
Comprehensive Care Clinic 801-213-3599

Any pediatric specialty except: active Hematology/Oncology, Cystic Fibrosis, Spina Bifida, Transplant, or Neurobehavior Home Clinic
Original Source:
Last Updated: 9/20/2018
PO Box 45180
Salt Lake City, UT 84145-0180
Phone: 801-587-6480
Organization Name: University of Utah Health Plans
Address: PO Box 45180
Salt Lake City, UT 84145-0180
Phone: 801-587-6480
Toll Free Phone: 888-271-5870
Fax: 801-281-6121
Eligibility: Medicaid, Box Elder, Davis, Salt Lake, Summit, Tooele, Utah and Weber counties
Services Provided: Health insurance for Utah State Medicaid enrollees in Box Elder, Davis, Salt Lake, Summit, Tooele, Utah and Weber Counties. Limited to providers in Healthy U Medicaid directory.
Original Source:
Last Updated: 11/7/2017
100 N Mario Capecchi Drive
Salt Lake City, UT 84113
Phone: 801-213-3599
Organization Name: Primary Children’s Hospital and University of Utah Medical Group
Address: 100 N Mario Capecchi Drive
Salt Lake City, UT 84113
Phone: 801-213-3599
Eligibility: 3 chronic conditions, high utilization, a number of specialists. Most health insurance. Referrals, inpatient, clinics.
Services Provided: Pediatric Specialty Services (PSS) is a collaboration between Primary Children’s Hospital (PCH) and the University of Utah Medical Group’s (UUMG) Pediatric and Pediatric subspecialty providers to align the organizations in developing value-based payment and care delivery models to manage services for children who need specialty and tertiary care.
Provider Profiles: Dr. Colleen Marty
Christy Aubert PA
comprehensive care clinic 801-213-3599
Original Source:
Last Updated: 4/3/2018

West Valley City, UT

Organization Name: Valley Behavioral Health
Address: 2525 Lake Park Blvd.
West Valley City, UT 84120
Phone: 877 370-8953
Toll Free Phone: 801-587-3000
Eligibility: Medicaid-eligible, Salt Lake County Spanish services available.
Services Provided: OptumHealth Salt Lake County administers mental health services for Medicare and Medicaid-eligible individuals. Providers through Valley Behavioral Health.
Provider Profiles: Optum programs also for Summit County, Tooele County.
Handbook of behavioral health coverage and providers here: (4/2/2017) https://optumhealthslco.com/content/dam/ops-optslcty/slc/docs/MemberHandbooks2017/Optum%20Member%20Handbook%20and%20Directory%2020170404_FINAL.pdf
Spanish Handbook available on website
Original Source:
Last Updated: 5/8/2018

Nationwide

7500 Security Boulevard
Baltimore, MD 21244
Phone: 800-633-4227
Service Categories:
Address: 7500 Security Boulevard
Baltimore, MD 21244
Phone: 800-633-4227
TDD: 800-325-0778
Toll Free Phone: 800-633-4227
Service Categories:
Eligibility: Persons age 65 and older, anyone with certain disabilities or end-stage renal disease.
Services Provided: Provides health insurance for Americans age 65 and older, people under age 65 with certain disabilities, and people of all ages with end stage renal disease (permanent kidney failure requiring dialysis or a kidney transplant).
Provider Profiles: Nationwide
Original Source:
Last Updated: 8/1/2018
Address: DC
Services Provided: Govbenefits.com is a free confidential prescreening tool for state and federal government programs. Search for benefits you may be able to receive.
Provider Profiles: Internet resource, State and Federal resources
Partners with USA.gov
Original Source:
Last Updated: 5/22/2018