Are you a recipient of Aetna Medicaid? If so, you may be wondering how to find healthcare providers and specialists within the Aetna Medicaid network. Aetna Medicaid is a managed c...Contact us. Have questions or need language help? Just call 1-855-242-0802 (TTY: 711) . Having a Behavioral or Mental Health Crisis and need immediate assistance? Call 1-833-491-1094 We’re here for you 24 hours a day, 7 days a week.Sometimes, understanding your Medicaid benefits can be hard. If you have questions, your care team is there to answer them. They can help you access your state Medicaid benefits and make sure you get the benefits and services you need. At Aetna, our number 1 goal is to make getting the care you need easy.Prior authorization (PA) Aetna Better Health® of Kentucky requires PA for some outpatient care, as well as for planned hospital admissions. PA is not needed for emergency care. Behavioral health providers can ask for PA 24 hours a day, 7 days a week. A current list of the services that require authorization is available on ProPAT, our online ... Just visit your Member Portal . Or access MyActiveHealth with your smartphone. You can call 1-855-231-3716 to ask for a printed copy of the health survey. You can also ask for info on health conditions and wellness topics in print. Medicaid is a valuable program that provides healthcare coverage to low-income individuals and families in Texas. However, applying for Medicaid can be a complex process, and there...Are you a recipient of Aetna Medicaid? If so, you may be wondering how to find healthcare providers and specialists within the Aetna Medicaid network. Aetna Medicaid is a managed c...For non-emergencies, a walk-in clinic or urgent care center may be the right choice for you. You don’t need an appointment, and you can usually see a provider or nurse in less than an hour. Some locations are open every day, including evening hours. Your time is valuable. We understand, and we want to help you get the medical care you need fast.Aetna Medicaid offers or administers Medicaid and Medicare plans in 14 states under various names. Learn about the programs, members, leaders and history of Aetna …Caring and helpful resources are just around the corner. Using the Community Resource Directory (CRD) tool in your Member Portal, you can find support and services near you. From food and housing services to wellness and mental health support and more. Aside from searching for resources, the CRD also allows you to: Save your resources.Aetna Medicaid is a Medicaid managed care organization focused on improving health outcomes for those we serve. We have health plans across the US. Aetna Medicaid has particular expertise in serving high-need Medicaid members, including those who are dually eligible for Medicaid and Medicare and those who need long-term care services and …Just call us at 1-800-279-1878 (TTY: 711). We’re here for you 24 hours a day, 7 days a week. You can get: Interpreter services at no cost during any service or complaint process, including American Sign Language and real-time oral interpretation.Search for providers and specialists in your state and health plan. Learn how to choose a primary care physician, prepare for an appointment and get the most out of your health …Medicaid works by a case worker first determining the individual’s eligibility to receive Medicaid. If the person is eligible, he receives an identification number and a Medicaid c...We don’t cover them, but NJ FamilyCare pays for them directly. You’ll need to show both your Aetna Better Health of New Jersey ID card and NJ FamilyCare card at the visit. If you have a NJ FamilyCare C or D plan, you may have to pay a copay at your visit. All services must be medically necessary. And your provider may need prior approval ...Now that you’ve chosen your PCP, it’s time to make an appointment for a “new member checkup.”. This visit is also called a “well visit” or “initial health assessment.”. This should be done within the first 60 days of becoming a member. First, your PCP will look at your medical historyand give you a checkup.Medicaid is a valuable program that provides healthcare coverage to low-income individuals and families in Texas. However, applying for Medicaid can be a complex process, and there...Call OTC Health Solutions at 1-833-331-1573 (TTY: 711). You can speak with an agent 9 AM to 8 PM local time, Monday through Friday. Call Member Services to order a printed copy of your OTC catalog or call the number on your Aetna member ID card. Aetna and CVS Pharmacy® are part of the CVS Health® family of companies.Choose us. Remember to choose Aetna Better Health of Louisiana when it’s time for enrollment. How to choose us. Online: Visit Healthy Louisiana enrollment. By phone: Call Healthy Louisiana at 1-855-229-6848 (TTY: 1-855-526-3346). You can call Monday through Friday, 8 AM to 5 PM. Tell them you choose Aetna Better Health of Louisiana as your plan.Aetna is the brand name used for products and services provided by one or more of the Aetna group of companies, including Aetna Life Insurance Company and its affiliates (Aetna). This material is for information only. Health information programs provide general health information and are not a substitute for diagnosis or treatment by a ...Policy Scope of Policy. This Clinical Policy Bulletin addresses pneumococcal vaccines. Medical Necessity. Aetna considers pneumococcal conjugate vaccines (PCV13, PCV15, and PCV20) and pneumococcal polysaccharide vaccine (PPSV23) medically necessary according to the recommendations of the Centers for Disease Control and Prevention’s …Aetna Better Health℠ Premier Plan is a health plan that contracts with both Medicare and Michigan Medicaid to provide benefits of both programs to enrollees. ATTENTION: If you speak Spanish or Arabic, language assistance services, free of charge, are available to you. Call 1-855-676-5772 (TTY: 711), 24 hours a day, 7 days a week. The call is ...Once your Medi-Cal application is approved, you will receive your Benefits Identification Card (BIC) in about 45 days. Your BIC lets you use many of the Medi-Cal benefits available to you. Within 45 days of receiving your BIC, you’ll get a letter in the mail explaining your health plan options. You can choose Aetna Better Health of California ...The Aetna difference. At Aetna Better Health of Illinois, we have experience you can count on. And we help you live your healthiest life. That's why we offer a variety of specialty services to help you reach all your health goals. In 2024, we've added personal nutrition services when you qualify. And, get $45 each month to spend on diapers, as ...Online: Visit Healthy Kids and click “Apply Now.”. By phone: Call FHK at 1-888-540-5437 (TTY: 1-800-955-8771). You can call Monday through Friday, 7:30 AM to 7:30 PM ET. By mail: You can ask FHK to mail a paper form to your address. Just call 1-888-540-5437 (TTY: 1-800-955-8771) to ask for the form. Questions about applying for Florida ...The Centers for Medicare & Medicaid Services (CMS) and the Center for Medicaid and CHIP Services (CMCS) is dedicated to advancing health equity, expanding coverage, and improving health outcomes. CMCS serves as the focal point for all national programs relating to Medicaid and Children’s Health Insurance Program (CHIP).2024 Participating Provider Precertification List – Effective date: March 1, 2024 (PDF) Behavioral health precertification list – effective date: May 1, 2023 (PDF) For Aetna’s commercial plans, there is no precertification required for buprenorphine products to treat opioid addiction. Note: If we need to review applicable medical records ...Jan 4, 2024 · Dual Eligible Special Needs Plan (D-SNP) 1-866-409-1221 ${tty} ${hours} Address: Member Services and DSNP Customer Service. PO Box 7083 London, KY 40742 Aetna Medicare Longevity Plan (I-SNP) Medicaid works by a case worker first determining the individual’s eligibility to receive Medicaid. If the person is eligible, he receives an identification number and a Medicaid c...You can get the care you need to be as healthy as possible. And you can do it all close to home. You can go to the Aetna Better Health website to learn more. Aetna Better Health …Call OTC Health Solutions at 1-833-331-1573 (TTY: 711). You can speak with an agent 9 AM to 8 PM local time, Monday through Friday. Call Member Services to order a printed copy of your OTC catalog or call the number on your Aetna member ID card. Aetna and CVS Pharmacy® are part of the CVS Health® family of companies.1-800-US-AETNA ( 1-800-872-3862) (TTY: 711) between 8:00 AM and 6:00 PM ET. This is the phone number for the Corporate Contact Center. They do not have access to member accounts but they can provide Aetna Member Services contact information. For your convenience, we recommend that you add your Member Services number to your phone …Complete documentation as you would for an in-person visit. Our nurse educator plays an important role to ensure that providers have access to the most updated information. For additional information, contact us at [email protected]. *Prior to January 1, 2022, the authorized POS code for telehealth was POS 02.Adam McCann, WalletHub Financial WriterMar 15, 2021 Having reliable and affordable healthcare is more important now than ever as the U.S. faces the COVID-19 pandemic, and as of Sep...Aetna Better Health will cover the treatment of COVID-19 or health complications associated with COVID-19. Aetna Better Health members with questions about ...We don’t cover them, but NJ FamilyCare pays for them directly. You’ll need to show both your Aetna Better Health of New Jersey ID card and NJ FamilyCare card at the visit. If you have a NJ FamilyCare C or D plan, you may have to pay a copay at your visit. All services must be medically necessary. And your provider may need prior approval ...1 Mar 2023 ... A parent firm is a firm that owns Medicaid MCOs that provide comprehensive services to Medicaid beneficiaries in two or more states. Aetna was ...Medicaid is a type of free or low-cost health insurance for people with low incomes. It’s backed by the federal government, but each state sets its own rules. Medicaid is a form of...Complete documentation as you would for an in-person visit. Our nurse educator plays an important role to ensure that providers have access to the most updated information. For additional information, contact us at [email protected]. *Prior to January 1, 2022, the authorized POS code for telehealth was POS 02. The KanCare program is the State of Kansas' managed care program. KanCare is provided to all Medicaid and CHIP consumers. Kansas has contracted with three health plans, or managed care organizations ( MCOs ), to coordinate health care for nearly all beneficiaries. The KanCare program began in January 2013. The KanCare health plans are Aetna ... The Availity portal makes it easier to support the day-to-day needs of your patients and office. You can: Submit claims. Get authorizations and referrals. Check patient benefits and eligibility. Upload medical records and supporting documentation. File disputes and appeals. Update your information. Stay up-to-date with the latest applications ... Aetna Better Health of New York is moving on April 1, 2023 From 55 West 125th st. STE 1300 NY, NY 10027 TO 101 Park Avenue 15th Fl. NY, NY 10178 NY, NY 10178 Pause MessageThe Availity portal makes it easier to support the day-to-day needs of your patients and office. You can: Submit claims. Get authorizations and referrals. Check patient benefits and eligibility. Upload medical records and supporting documentation. File disputes and appeals. Update your information. Stay up-to-date with the latest applications ...1-800-279-1878 (TTY: 711) Hours and services. Member Services: 24 hours a day, 7 days a week. Call to learn more about Aetna Better Health® of Virginia and how to get all covered services. For care management, ask to speak to your care manager. Behavioral health crisis line: 24 hours a day, 7 days a week. Call Member Services.If your household meets certain income requirements, you may be eligible for Medicaid, a form of government healthcare coverage designed to ensure people with limited income can ac...Aetna Medicaid members are encouraged to take advantage of plan benefits for 90-day maintenance medication prescriptions. With the Centers for Disease Control and Prevention (CDC) encouraging individuals at higher risk for COVID-19 complications to stay at home as much as possible, this is a convenient option to avoid visiting the pharmacy for ...We would like to show you a description here but the site won’t allow us.Policy Scope of Policy. This Clinical Policy Bulletin addresses weight reduction programs and devices. Note: Many Aetna plan benefit descriptions specifically exclude services and supplies for or related to treatment of obesity or for diet and weight control. Under these plans, claims for weight reduction medications and for physician supervision of weight …Lorem Ipsum is simply dummy text of the printing and typesetting industry. Lorem Ipsum has been the industry's standard dummy text ever since the 1500s, when an unknown printer took a galley of type and scrambled it to … Aetna has reached these conclusions based upon a review of currently available clinical information (including clinical outcome studies in the peer-reviewed published medical literature, regulatory status of the technology, evidence-based guidelines of public health and health research agencies, evidence-based guidelines and positions of ... Diabetic supplies: Supplies by OneTouch, the exclusive diabetic supply maker for Aetna Medicare. These include test strips, glucose meters, solutions and lancets. See below for more information about OneTouch®. Therapeutic shoes and inserts. Most insulin used in a Medicare-covered insulin pump. Insulin pumps (covered up to 20 percent) Though they have excellent health benefits through Medicaid, they have limited means of accessing those benefits. That’s one reason Aetna Better Health provides access to care by covering no-cost, curb-to-curb transportation for members using a shared car, taxi, bus, or other public or private means to get to their medical appointment for ... Aetna Medicare Advantage plans include benefits and services that focus on your total health. We want to help you get the coverage, resources and care you need. See Evidence of Coverage for a complete description of plan benefits, exclusions, limitations and conditions of coverage. Plan features and availability may vary by service area. Aetna :: MedicaidWebPortal ... Help ... 6 May 2022 ... Network, Aetna NY Signature, Aetna Better Health Medicaid, Aetna Savings Plus & New York Community Plan. Age Well. Medicare. Carrier Name.Medicaid is a state-administered health insurance program for certain individuals and families with low incomes and resources. Each state sets its own eligibility requirements for ... Aetna Better Health of Texas is part of Aetna®, one of the nation's leading health care providers and a part of the CVS Health® family. We have over 30 years of experience serving Medicaid populations, including children, adults and people with disabilities or other serious health conditions. Aetna Better Health provides the general info on the next page. If you don’t want to leave your state site, choose the “X” in the upper right corner to close this message. Or choose “Go on” to move forward to the main Aetna® Medicaid website. With our secure Member Portal, you can manage your Aetna Better Health of Maryland plan benefits, change your doctor, get new ID cards, see your claim status or personal health history, and more. ... This link will take you to the main Aetna® Medicaid website (AetnaBetterHealth.com). Aetna Better Health of Maryland is not responsible or liable ... Your dental services are covered by the Statewide Medicaid Managed Care (SMMC) program, not by Aetna Better Health®. You can find coverage and provider details on the SMMC website. If you need additional information about the program, please contact a Choice Counselor at 1-877-711-3662. Aetna Better Health of Louisiana is part of Aetna®, one of the nation's leading health care providers and a part of the CVS Health® family. We have over 30 years of experience serving Medicaid populations, …25 Feb 2021 ... The managed care bidding process has received legal opposition from other entities aside from Aetna. Oklahoma State Medical Association (OSMA) ...View the managed care program and plan choices by county on the Medicaid Managed Care Program Map. ... Preferred Drug List (PDL). Aetna Better Health of Illinois. You can find your Evidence of Coverage (EOC), Summary of Benefits, Star Ratings, Formulary — Prescription Drug Coverage, Over-the-counter (OTC) benefit catalog, and more. If you’re in a Medicare Advantage plan, your plan name is listed on your member ID card. If you’re in a plan with prescription drug coverage only (PDP), look at the “S ... Policy Scope of Policy. This Clinical Policy Bulletin addresses weight reduction programs and devices. Note: Many Aetna plan benefit descriptions specifically exclude services and supplies for or related to treatment of obesity or for diet and weight control. Under these plans, claims for weight reduction medications and for physician supervision of weight …Insurers like Aetna, Humana and UnitedHealthcare are leaving Obamacare insurance marketplaces. But the fall-out will vary state by state. By clicking "TRY IT", I agree to receive n...Aetna Medicaid members are encouraged to take advantage of plan benefits for 90-day maintenance medication prescriptions. With the Centers for Disease Control and Prevention (CDC) encouraging individuals at higher risk for COVID-19 complications to stay at home as much as possible, this is a convenient option to avoid visiting the pharmacy for ...Online: Visit Healthy Kids and click “Apply Now.”. By phone: Call FHK at 1-888-540-5437 (TTY: 1-800-955-8771). You can call Monday through Friday, 7:30 AM to 7:30 PM ET. By mail: You can ask FHK to mail a paper form to your address. Just call 1-888-540-5437 (TTY: 1-800-955-8771) to ask for the form. Questions about applying for Florida ...Aetna is the brand name used for products and services provided by one or more of the Aetna group of companies, including Aetna Life Insurance Company and its affiliates (Aetna). This material is for information only. Health information programs provide general health information and are not a substitute for diagnosis or treatment by a ...We proudly serve millions enrolled in managed care programs including Medicaid and Children’s Health Insurance Program. Learn about Aetna Better Health. The Aetna …Living with a chronic condition can be challenging. From managing symptoms to finding the right treatments, it’s important to have access to the resources and support you need. Aet...Choose us. Remember to choose Aetna Better Health of Louisiana when it’s time for enrollment. How to choose us. Online: Visit Healthy Louisiana enrollment. By phone: Call Healthy Louisiana at 1-855-229-6848 (TTY: 1-855-526-3346). You can call Monday through Friday, 8 AM to 5 PM. Tell them you choose Aetna Better Health of Louisiana as your plan.The Availity portal makes it easier to support the day-to-day needs of your patients and office. You can: Submit claims. Get authorizations and referrals. Check patient benefits and eligibility. Upload medical records and supporting documentation. File disputes and appeals. Update your information. Stay up-to-date with the latest applications ...Aetna Medicaid is a Medicaid managed care organization focused on improving health outcomes for those we serve. We have health plans across the US. Aetna Medicaid has particular expertise in serving high-need Medicaid members, including those who are dually eligible for Medicaid and Medicare and those who need long-term care services and …We provide Medicare benefits to people who qualify for Medicaid (AHCCCS), as well as Medicare Parts A and B. Learn more about becoming a member. Mercy Care Mercy Care Advantage. In a crisis? Call 1-844-534-4673 or 1-844-534-HOPE. Text HOPE to 4HOPE (44673). Or find other crisis lines.Just call us at 1-800-279-1878 (TTY: 711). We’re here for you 24 hours a day, 7 days a week. You can get: Interpreter services at no cost during any service or complaint process, including American Sign Language and real-time oral interpretation.You can reach us at: 1-866-329-4701 (TTY: 711 ) and follow the prompts to reach the Nurse Line. 24 hours a day, 7 days a week. For language services, please call the number on your member ID card and request an operator. For our non-discrimination notice and other language assistance:25 Feb 2021 ... The managed care bidding process has received legal opposition from other entities aside from Aetna. Oklahoma State Medical Association (OSMA) ...The benefits of precertification. You and our members (and their appointed representatives) will know coverage decisions before procedures, services or supplies are provided. We can identify members and get them into specialty programs, such as case management and disease management, behavioral health, the National Medical …Aetna Better Health℠ Premier Plan is a health plan that contracts with both Medicare and Michigan Medicaid to provide benefits of both programs to enrollees. ATTENTION: If you speak Spanish or Arabic, language assistance services, free of charge, are available to you. Call 1-855-676-5772 (TTY: 711), 24 hours a day, 7 days a week. The call is ... Though they have excellent health benefits through Medicaid, they have limited means of accessing those benefits. That’s one reason Aetna Better Health provides access to care by covering no-cost, curb-to-curb transportation for members using a shared car, taxi, bus, or other public or private means to get to their medical appointment for ... SHARE. Renewing Your Medicaid Benefits Every Year | Aetna Medicaid. Watch on. View Transcript. Aetna Better Health helps members understand the process of renewing their Medicaid eligibility and provide them information to reapply so they don't lose coverage.There are two ways to do this: Call Member Services at the phone number on your member ID card. To submit your request in writing you can print and mail the following form: Member complaint and appeal form (PDF) You may appeal on your own. You also may authorize someone to appeal for you. This is called an authorized representative.Fast, accurate and secure transactions. ERA is an electronic file that contains claim payment and remittance info sent to your office. The benefits of an ERA include: Reduced manual posting of claim payment info, which saves you time and money, while improving efficiency. No need for paper Explanation of Benefits (EOB) statements. Aetna Better Health of Kentucky is part of Aetna ®, one of the nation's leading health care providers and a part of the CVS Health ® family. We have over 30 years of experience serving Medicaid populations including children, adults and people with disabilities or other serious health conditions. We bring our national experience to your ... You can call 1-855-231-3716 to request a printed copy of the health survey. You can also get printed information on health conditions and wellness topics. Aetna Better Health ® of California. With our secure member portal, you can manage your Medicaid plan benefits, such as changing your doctor, get new Medicaid cards, see your claim status ...Aetna :: MedicaidWebPortal ... Help ...A first-party SNT is one of two types of SNTs, sometimes referred to as Medicaid payback trusts, self-settled SNTs, OBRA ’93 trusts and d4A or d4C trusts. Calculators Helpful Guide... Once your Medi-Cal application is approved, you will receive your Benefits Identification Card (BIC) in about 45 days. Your BIC lets you use many of the Medi-Cal benefits available to you. Within 45 days of receiving your BIC, you’ll get a letter in the mail explaining your health plan options. You can choose Aetna Better Health of California ...
Let us know you’re pregnant. Our maternity care program can help you stay healthy through your pregnancy. It’s easy to join. Just contact us . Then you’ll be sure to get the health care services you need. Give your baby the best start. After your baby is born, call the Department of State Health Services (DSHS) at 1-888-963-7111 (TTY: 1 .... Stamps cpm
You can call 1-855-231-3716 to request a printed copy of the health survey. You can also get printed information on health conditions and wellness topics. Aetna Better Health ® of California. With our secure member portal, you can manage your Medicaid plan benefits, such as changing your doctor, get new Medicaid cards, see your claim status ... Aetna Medicaid offers or administers Medicaid and Medicare plans in 14 states under various names. Learn about the programs, members, leaders and history of Aetna … Aetna Better Health of Kentucky is part of Aetna ®, one of the nation's leading health care providers and a part of the CVS Health ® family. We have over 30 years of experience serving Medicaid populations including children, adults and people with disabilities or other serious health conditions. We bring our national experience to your ... Online access to member information is only for SKY members who have received authorization, including Former Foster Youth, some justice involved youth, and SKY members receiving Adoption Assistance. All other SKY members or their caregiver need to call Member Services at 1-855-300-5528 (TTY: 711) for help. Log in here for SKY. Just visit your Member Portal . Or access MyActiveHealth with your smartphone. You can call 1-855-231-3716 to ask for a printed copy of the health survey. You can also ask for info on health conditions and wellness topics in print. Aetna Better Health of New Jersey is part of Aetna ®, one of the nation's leading health care providers and a part of the CVS Health ® family. We have over 30 years of experience serving Medicaid populations, … Aetna Better Health of Ohio follows state and federal civil rights laws that protect you from discrimination or unfair treatment. We do not treat people unfairly ... DentaQuest (for adults and children under 21): 1-800-685-0143 (TTY: 1-800-466-7566) MCNA Dental (for children under 21): 1-855-702-6262. They can help you find a dentist and arrange your care. Aetna Better Health ® of Louisiana. A healthy smile is linked to a healthy body. You can get dental care when you join Aetna Better Health® of Louisiana.We will mail form MA 1099-HC to all Massachusetts residents who are covered under an Aetna medical plan. You should get it on or before January 31. This Form includes information to help you complete Schedule HC. The forms are based on the enrollment status and medical plan for all of your covered family members.That’s why CVS Health® is funding projects that help members overcome the barriers to securing quality housing. Central City, New Orleans is one example. Here, we’ve invested $25 million to help build affordable housing for Louisiana families and seniors. This 210,000 square-foot development features 192 one-, two- and 3-bedroom housing units.Healthy lifestyle programs. They can help you meet all your goals, like quitting smoking, eating healthy, managing stress and more. Just call 1-855-231-3716 to request a printed copy of the health survey. You can also get printed information on health conditions and wellness topics.The plan premium, or cost of coverage, will be taken out of her paychecks. Even though her new plan has higher premiums, the deductible and copays will be lower. That’s important since Trisha promised her grown children she’d be more diligent about her own health. Read more about how health plans with higher premiums often have lower ... Once your Medi-Cal application is approved, you will receive your Benefits Identification Card (BIC) in about 45 days. Your BIC lets you use many of the Medi-Cal benefits available to you. Within 45 days of receiving your BIC, you’ll get a letter in the mail explaining your health plan options. You can choose Aetna Better Health of California ... Aetna Better Health ® of Ohio is a health plan that contracts with both Medicare and Ohio Medicaid to provide benefits of both programs to enrollees.. ATTENTION: If you speak Spanish or Somali, language assistance services, free of charge, are available to you. Call 1-855-364-0974 (TTY: 711), 24 hours a day, 7 days a week.The call is free.NewYork-Presbyterian and Aetna reach deal after patients faced losing coverage - Gothamist. Gothamist is a non-profit local newsroom, powered by WNYC.19 Nov 2020 ... Lots of people have questions right now, especially when it comes to your health care coverage. Aetna Better Health offers Medicaid plans ...Aetna Better Health provides the general info on the next page. If you don’t want to leave your state site, choose the “X” in the upper right corner to close this message. Or choose “Go on” to move forward to the main Aetna® Medicaid website. Download your Aetna Better Health app. Always on the go? No problem. The app lets you access all the benefits of your Member Portal anytime, anywhere. Check out health resources, send us questions and more. Just download the app from the Apple App Store or the Google Play store. If yes, you and your family still have options. Visit Cover Virginia and answer six questions using this screening tool. If you qualify, you can apply for coverage: Online: Use the online application page. By phone: Call Cover Virginia at 1-833-5CALLVA ( 1-833-522-5582) (TDD: 1-888-221-1590). Aetna Medicaid is a Medicaid managed care organization focused on improving health outcomes for those we serve. We have health plans across the US. Aetna Medicaid has particular expertise in serving high-need Medicaid members, including those who are dually eligible for Medicaid and Medicare and those who need long-term care services and supports. .