Twitter @ShayUKBombshell I go by the name Shay âUK Bombshellâ and Iâm currently living in East London.
Managed Care Organizations (MCO) Most Medicaid and FAMIS enrollees get their care through a Managed Care Organization (MCO). An MCO is an organization with a network of primary care providers (PCPs), specialists, hospitals and other health care providers. A PCP is the doctor you choose to provide and coordinate your or your childâs health care. Different MCOs are available in different areas of the state.
The incentive then exists to exclude individuals with significant known health-care needs from participating in the MCO (just as health insurance carriers do now) or to find ways of denying services, even when the service is listed as a covered benefit.