Medicaid Managed Care Liaison

Responsibilities

• Cookbook the health care services and benefits with the following:
  • 29-I VFCA Health Facilities treatment team
  • MMCP’s foster care liaison
  • LDSST’s managed care foster care liaison
  • Health care providers, including school and community-based services
• Inform and coordinate with the MMCP when a child’s primary care provider needs to be changed
• The primary contact person for the MMCP to assist with the following:
  • MMCP enrollment, disenrollment, and transitions
  • Immediate issuance of a Welcome Letter
  • Securing identification showing the effective enrollment date (including immediate temporary identification)
  • Replacement insurance identification card
• Aid with foster care placement changes including:
  • Access to health care
  • Facilitate a single case agreement when a child is placed outside of the MMCP’s service area or provider network
• Interact with clinical and billing staff
• Refer children for needed services and assist in provider selection
• Maintain eligibility for public or private health insurance
• Absorb consent and/or confidentiality issues
• Oversee all Medicaid business functions
• Aid with court ordered services and fair hearings

Qualifications

• High School Diploma/GED
• Associate Degree is preferable
• Experience with Medicaid Managed Care
• Experience, expertise, and knowledge of the child welfare system & foster care healthcare requirements
• Understanding of the unique complex needs of the foster care population
• Familiarity with Medicaid Managed Care policies and procedures
• Ability to clearly communicate both in writing and verbally
• Proficiency in Microsoft Office (MS Word & Excel), Outlook