Administrative Care Coordination Unit (ACCU) & Ombudsman Program

Information

Phone(410) 543-6942

Fax: (410) 543-6568

Services:

  • Educates MA clients on how to utilize the MCO system appropriately and effectively navigate the Health Choice system.
  • Provides education to pregnant women and families with children on how to apply and renew Maryland Children’s Health Program (MCHP) benefits.
  • Provides education for MA recipients on the MCO enrollment process and the fee-for services system as well as reinforcement on how the managed care system works.
  • Assures individuals who are enrolled in or are eligible for Medical Assistance appropriately access and utilize health care services.
  • Educates recipients on the importance of timely follow up when appointments/treatments have been missed and the importance and availability of preventative health care, dental care, lead screening, immunizations for children, pap smears, mammograms, and self-referred services such as the ability to maintain an established prenatal care provider and out-of-network family planning services.
  • Assists MA recipients who are not in care to re-enter the health care system, provides education on preventative health care, assistance in rescheduling appointments and in accessing transportation for appointments

Administrative Care Coordination Unit (ACCU):

The mission of ACCU is to provide education and outreach to Medical Assistance recipients to increase awareness of Medical
Assistance Programs.

Ombudsman Program:

Attempt to resolve disputes by educating the MCO/MCO provider and the enrollee; utilize mediation or other dispute resolution techniques; assist the enrollee in negotiating the MCO’s internal grievance process and advocate on behalf of the enrollee throughout the MCO internal grievance and appeals process.



Administrative Care Coordination Unit (ACCU) & Ombudsman Program

Administrative Care Coordination Unit (ACCU): The mission of ACCU is to provide education and outreach to Medical Assistance recipients to increase awareness of Medical Assistance Programs. Ombudsman Program: Attempt to resolve disputes by educating the MCO/MCO provider and the enrollee; utilize mediation or other dispute resolution techniques; assist the enrollee in negotiating the MCO’s internal…

Go to Administrative Care Coordination Unit (ACCU) & Ombudsman Program →

Children and Youth with Special Health Care Needs (CYSHCN)

  These services are available: Family Centered Care Coordination: a valuable service, our CYSHCN program, can help navigate you through the health care system by giving assistance in communicating with providers and agencies that help support children with special needs. A nurse can help coordinate services, address any questions, reduce barriers for care and/or help refer care givers…

Go to Children and Youth with Special Health Care Needs (CYSHCN) →


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