• I have Child Health Plus for my children. Can I utilize my Health Plus Membership Card to process their medication prescriptions at the pharmacy?
• Are braces covered under your Child Health Plus dental program?
• How many times can I change my PCP in one year?
• I have been receiving treatment for Parkinson’s disease from my neurologist. Do I have to continue to get a referral from my primary care physician (PCP) each time I go to the specialist or is there some way I can get a blanket referral?
• I am calling because I need some information about the managed care plan for people on Medicaid. I am HIV positive and need to know if you have any primary care doctors who have experience with HIV/AIDS. Can you give me their names and phone numbers?
• How long will it take to resolve?
• My mother filed a grievance and got the result, but she is not satisfied with the result. It is not an emergency situation, but she wants to appeal. How long does she have to file an appeal?

Q: I have Child Health Plus for my children. Can I utilize my Health Plus Membership Card to process their medication prescriptions at the pharmacy?
A: Yes.

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Q: Are braces covered under your Child Health Plus dental program?
A: No, this is considered an elected cosmetic procedure.

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Q: How many times can I change my PCP in one year?
A: Twice.

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Q: I have been receiving treatment for Parkinson’s disease from my neurologist. Do I have to continue to get a referral from my primary care physician (PCP) each time I go to the specialist or is there some way I can get a blanket referral?
A: Yes, a blanket referral may be available from your PCP.

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Q: I am calling because I need some information about the managed care plan for people on Medicaid. I am HIV positive and need to know if you have any primary care doctors who have experience with HIV/AIDS. Can you give me their names and phone numbers?
A: I can send you a Provider Directory, which has a listing of all the providers in our network. Listed under the provider name it will state if the provider specializes in treating HIV/AIDS.

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Q: How long will it take to resolve?
A: No more than 30 business days after the receipt of all necessary information.

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Q: My mother filed a grievance and got the result, but she is not satisfied with the result. It is not an emergency situation, but she wants to appeal. How long does she have to file an appeal?
A: Up to 60 Days.

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