(Revised 6/1/2010 ML #3219)
(N.D.A.C. 75-02-02-08.6)
Certain groups within Medicaid are required to enroll in a managed care program. The Primary Care Case Management (PCCM) program is the only Statewide managed care program serving Medicaid recipients. This program requires Medicaid recipients to choose a Primary Care Provider (PCP) to manage their health care needs and provide referrals for specialty services as needed.
The PCCM program is designed to provide the Medicaid recipient with adequate access to primary care, coordination and continuity of health care services and quality care.
County social service agencies provide Medicaid applicants/recipients with written information (Guide to North Dakota Medicaid’s Primary Care Provider Program handbook) about the managed care programs and inform them of their responsibility to select a PCP in their surrounding area.
Guide to North Dakota Medicaid’s Primary Care Provider Program handbook for recipients is located at: http://www.nd.gov/dhs/services/medicalserv/medicaid/managedcare.html