Enrollment
After you apply and are accepted into the HUSKY program, the next step is called enrollment. Health care coverage for HUSKY B (for children under 19 only) begins when you enroll your child in one of our health care options. Coverage for HUSKY A (for children and eligible parents, relative caregivers and pregnant women) starts as soon as your application is approved for HUSKY. In HUSKY A you and your child receive benefits through our regular Medicaid program until you pick one of our
health care options.
Keep in mind that, no matter which health care option you select, HUSKY health care benefits are the same.
When you enroll, HUSKY gives you the freedom to choose one of three participating managed health care plans (Aetna Better health, AmeriChoice by Unitedhealthcare, or Community Health Network of CT);or -- if you live in the Hartford, New Haven, Waterbury, or Windham areas and are in HUSKY A –– you can choose HUSKY Primary Care, as our primary care case management (PCCM) program is known.
Regardless of which health care option you choose in HUSKY coverage, you will have a Primary Care Provider (such as a doctor, nurse practitioner, or nurse midwife).
More information is in the
Health Care Options section below. Please note that you need to choose one health care option, and all family members need to belong to the same option.
Your managed health care plan, or your provider in the HUSKY Primary Care program, will coordinate your health care benefits.
- The first difference in HUSKY Primary Care is that the beneficiary ‘enrolls’ directly with a participating Primary Care Provider.
- In the case of a HUSKY managed health care plan, on the other hand, the beneficiary ‘enrolls’ with one of the three plans and then is assigned a Primary Care Provider, or keeps one’s current Primary Care Provider (as long as the PCP is enrolled in the plan).
- Regardless of whether the enrollee chooses HUSKY Primary Care or one of the three HUSKY managed health care plans, the actual health care benefits in the HUSKY A package are the same.
- Perhaps the easiest way to explain HUSKY Primary Care is that the Primary Care Provider has a greater role in serving the patient/HUSKY A beneficiary in terms of coordinating care. For example:
- Linking you with community resources and services you need
- Arranging transportation to appointments
- Setting up appointments with needed specialists
- Providing same or next day appointments for urgent care
- These and functions are otherwise done by the HUSKY managed health care plan, in conjunction with the Primary Care Provider. Under managed health care, the Primary Care Provider is involved in a lot of the same things as in HUSKY Primary Care, such as patient care, referrals to specialists, follow-up. A major difference is that in managed care, the health plan shares case management functions with the Primary Care Provider, and the health plan provides more of the ‘customer service’ functions such as appointment and transportation scheduling assistance, which under HUSKY Primary Care are the responsibility of the Primary Care Provider.
Assistance with enrollment is available by calling:
1-800-656-6684
Hours:
9 - 8 Monday through Thursday
9 - 6 Friday
10 - 2 Saturday
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Health Care Options
When you choose between the three managed health care plans or the HUSKY Primary Care program, the following links and customer service phone numbers will be helpful.
You can locate participating physicians, hospitals and community health centers; get a copy of a member handbook with detailed information on the managed health care plan; and check out the HUSKY Primary Care program brochures.
For more information on health care options in HUSKY A, see our “Tips on Choosing a HUSKY A Option” publication.
Aetna Better HealthToll free 1-866-742-3120, TTY/TDD 1-866-742-4844
(Monday - Friday, 8 am to 5 pm)
To find a provider or see if your doctor participates in Aetna Better Health, check the Aetna Better Health provider directory (please note, you will have to choose "Husky" or "Charter Oak" in the drop down menu).
To find a provider or see if your current doctor participates in AmeriChoice by Unitedhealthcare, check the Americhoice by Unitedhealthcare Provider Directory.
To find a provider or see if your current doctor participates in Community Health Network of Connecticut, check the Community Health Network of Connecticut Provider Directory.
HUSKY Primary Care, Connecticut’s Primary Care Case Management (PCCM) program, is a pilot program currently open to HUSKY A members who live in the Hartford, New Haven, Waterbury, and Windham areas. For assistance with enrolling in HUSKY Primary Care, please call 1-800-656-6684. The link below will also provide you with information on getting services.
If you are considering joining HUSKY Primary Care and would like to read a brief overview, click on the links below.
When you enroll in any of these options, you will also receive behavioral health, pharmacy, and dental benefits. For more information on these benefits, click on the links below.
Content Last Modified on 1/25/2010 3:18:21 PM
