CountyCare Member Story

CountyCare And Community Partners Help Member With Redetermination

Mike* is a CountyCare member who is currently receiving treatment at a local children’s hospital.

A hospital nurse coordinator was arranging transportation for Mike for an important upcoming appointment when she encountered an unexpected roadblock: Mike had lost his CountyCare coverage.

Recognizing the urgency, she quickly contacted Mike’s CountyCare care coordinator to explain the situation. Collectively, they determined that Mike’s redetermination paperwork was received a day late, but that he still had coverage through the end of the month allowing them to schedule the necessary transportation. In addition, they provided guidance to Mike’s parents that they needed to go to their local Department of Human Services (DHS) office to expedite new paperwork.

Mike’s parents wasted no time taking the necessary steps to complete the proper redetermination paperwork for Mike to stay with CountyCare. The team’s swift response and collaboration ensured that Mike wouldn’t miss his critical appointment – and that his Medicaid coverage would stay with CountyCare until he was up for redetermination.

*Names and identifying details have been changed to protect anonymity.