![]() ![]() Walmart / Mercy: Arkansas Local Plan & Southwest Missouri Local PlanĪll Medicaid and Managed Medicaid plans outside of the state of Missouri or Kansas will have pre-approvals that are needed to receive care at Children’s Mercy. PHCS Practitioners Only (All Hospital/Facility Services) LifeShield STM (All Hospital/Facility Services) What steps can I take if I have an out-of-network plan? MedicalĪnthem Pathway/Pathway X (KS locations only)Īspen STM (All Hospital/Facility Services)Ĭustom Network Plans (Administered by United Healthcare) ![]() See the out-of-pocket cost comparison to paying through an insurance plan. Optum Pediatric Transplant Centers of Excellence NetworkĮmerging Therapy Solutions (ETS) / LifeTracĮnvolve Dental (Home State Health & Show Me Healthy Kids) Specialty Centers of Excellence - Transplant Networksīlue Distinction Centers (BDC) for Transplant Lucet Behavioral Health (formerly New Directions) Arkansas Medicaid PASSE ( Out-of-Network)Įvernorth Behavioral Health (formerly Cigna Behavioral Health).The phone number to call for this information should be located on your benefit card that is provided by your State Medicaid Agency or Health Plan when you become eligible for Medicaid coverage. Many States have special requirements that need to be followed before seeking services from an out of State provider and if these are not followed you may not have coverage and be financially responsible for the care you receive at Children’s Mercy Kansas City. If you have Medicaid coverage and do not live in Kansas or Missouri, please contact your State Medicaid Agency or Health Plan to verify that Children’s Mercy Kansas City is authorized to provide care to your child prior to seeking services. PHCS (excluding all health and/or cost sharing ministries) Orscheln Industries (utilizing HealthSCOPE TPA) MultiPlan (excluding all health and/or cost sharing ministries) Medica with MU Health Care (referral required).Medica Connect (utilizing ProviDRs Care network).Medica Choice National (utilizing the First Health Network).Health Midwest Comprehensive Care (HMCC) Well Care HealthLink PPO (utilizing Freedom Network) BlueCard PPO (plans with PPO suitcase on ID card)ĬoxHealth Plans (utilizing First Health Network).Ascension Personalized Care EPO ( Out-of-Network).Anthem BCBS of Missouri (utilizing BlueKC network) ![]()
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