most helpful answer in this case there a few things i would suggest. you can call your insurer to complain that you're unable to find a provider who will see you and ask specifically for help in locating someone who can. don't be afraid to ask for a supervisor -- often the customer service folks answering the phones don't have the authority to do anything out of the ordinary. understand for yourself -- and communicate this fact when you call your insurer -- that medicaid managed care organizations are required by law to comply with standards for access to care. the standards are intended to ensure that each company maintains a network of providers that is sufficient to provide adequate access to medicaid services. you can check with your state's department of insurance to determine what those standards are where you live and whether your plan is violating them. if it is you should file an official complaint with your state's department of insurance. also contact your state's office of the health care advocate where you can get help dealing with your health plan as well as finding a provider and filing a complaint about your insurer's practices.
is it legal for doctors currently listed as accepting new patients under a medicaid managed care plan to then deny them? . the medicaid managed care plan's online provider list is up-to-date yet the doctors are refusing the care plan's new medicaid members despite being listed on the managed care plan's web portal as willingly accepting them. one receptionist even admitted new medicaid patients would not be accepted until the doctor has enough insured patients to counterbalance the reduced payment the doctor receives for treating medicaid patients. the managed care plan. is. aware this is occurring.