Medicare Special Needs Plan

Providers of Medicare Advantage health care plans approved by Medicare that accept applications for enrollment in specialized plans that focus on individuals with special needs, i.e., people who are institutionalized or who reside in the community but require an equivalent level of care as those residing in a long term care facility; people with both Medicare and Medicaid (dual eligibles); and/or people who have severe or disabling chronic conditions (e.g., cardiovascular disease, diabetes, congestive heart failure, mental disorders, end stage renal disease, and HIV/AIDS). (AIRS NS-8000.500-480.60)

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UT

Ogden, UT

Organization Name: Social Security Administration
(Show others in Organization)
Address:
324 25th Street 2nd Floor
Ogden, UT 84401
Phone: 877-378-9081
TDD: 800-325-0778
Toll Free Phone: 800-772-1213
Wheelchair Access: Complete
Eligibility: Medicare is for those who have special condition or disability, and people age 65 and older.
Services Provided: United States Social Security Administration (SSA) is an independent agency of the United States federal government that assigns social security numbers; administers the retirement, survivors, and disability insurance programs known as Social Security; and administers the Supplemental Security Income (SSI) program for the aged, blind, and disabled. Online "My Social Security" Account can be used to: print benefit verification letter, change address and phone number, request replacement Medicare or Social Security card, request replacement tax documents, or start or change direct deposit.
Source: United Way 2-1-1
Last Updated: 7/1/2019

Salt Lake City, UT

100 N Mario Capecchi Drive
Salt Lake City, UT 84113
Phone: 801-662-6721
Organization Name: Primary Children's Hospital and University of Utah Medical Group
(Show others in Organization)
Address:
100 N Mario Capecchi Drive
Salt Lake City, UT 84113
Phone: 801-662-6721
Email: PCHICCTReferral@imail.org
Wheelchair Access: yes
Eligibility: Available for children with multiple, complex chronic illnesses. A medical team evaluates kids ages 0 to 17 for program enrollment. Any insurance provider accepted. Referrals welcome. Salt Lake County, southern portion of Davis County.
Services Provided:

Connector Service assists patients and families with scheduling and support services, including home visits by a registered nurse. Three or more chronic illnesses, such as: cerebral palsy, neurologic impairments, feeding issues, or vision/hearing impairment. A multi-disciplinary team assists children who have multiple, complex chronic illnesses. Interventions, including home visitation, help support the family so children can grow healthy in their home environments. Facilitating communication among providers is an essential objective. Shared Plan of Care.

Provider Profiles:

A University of Utah continuing formal research study.
Erin Avondet, MD Pediatrician and Medical Director
Christine Aubert, PA-C Physical Medicine and Rehabilitation
Karine Romero, RN, Care Manager
Sommon Ameri, Transitionist
Comprehensive Care Clinic 801-213-3599

Any pediatric specialty except: active Hematology/Oncology, Cystic Fibrosis, Spina Bifida, Transplant, or Neurobehavior Home Clinic

Source: Medical Home Portal
Last Updated: 8/31/2020
PO Box 45180
Salt Lake City, UT 84145-0180
Phone: 801-587-6480
Organization Name: University of Utah Health Plans
(Show others in Organization)
Address:
PO Box 45180
Salt Lake City, UT 84145-0180
Phone: 801-587-6480
Toll Free Phone: 888-271-5870
Fax: 801-281-6121
Eligibility: Medicaid, Box Elder, Davis, Salt Lake, Summit, Tooele, Utah and Weber counties
Services Provided: Health insurance for Utah State Medicaid enrollees in Box Elder, Davis, Salt Lake, Summit, Tooele, Utah and Weber Counties. Limited to providers in Healthy U Medicaid directory.
Source: Medical Home Portal
Last Updated: 11/7/2017
100 N Mario Capecchi Drive
Salt Lake City, UT 84113
Phone: 801-213-3599
Organization Name: Primary Children’s Hospital and University of Utah Medical Group
(Show others in Organization)
Address:
100 N Mario Capecchi Drive
Salt Lake City, UT 84113
Phone: 801-213-3599
Eligibility: 3 chronic conditions, high utilization, a number of specialists. Most health insurance. Referrals, inpatient, clinics.
Services Provided: Pediatric Specialty Services (PSS) is a collaboration between Primary Children’s Hospital (PCH) and the University of Utah Medical Group’s (UUMG) Pediatric and Pediatric subspecialty providers to align the organizations in developing value-based payment and care delivery models to manage services for children who need specialty and tertiary care.
Provider Profiles: Dr. Colleen Marty
Christine Aubert PA-C
comprehensive care clinic 801-213-3599
Source: Medical Home Portal
Last Updated: 12/4/2018
175 East 400 South Ste 500
Salt Lake City, UT 84111
Phone: 866-851-5275
Organization Name: Social Security Administration
(Show others in Organization)
Address:
175 East 400 South Ste 500
Salt Lake City, UT 84111
Phone: 866-851-5275
TDD: 801-524-5047
Toll Free Phone: 800-772-1213
Wheelchair Access: Complete
Eligibility: None
Services Provided: Delivers Social Security services (SSI) that meet the changing needs of the public. See Disability Planner: Benefits for a Disabled Child.
Provider Profiles: Fraud Reporting Line 800 269-0271
Source: United Way 2-1-1
Last Updated: 1/8/2020

West Valley City, UT

Organization Name: Valley Behavioral Health
(Show others in Organization)
Address:
2525 Lake Park Blvd.
West Valley City, UT 84120
Phone: 877 370-8953
Toll Free Phone: 801-587-3000
Languages Spoken: Spanish services available.
Eligibility: Medicaid-eligible, Salt Lake County
Services Provided: OptumHealth Salt Lake County administers mental health services for Medicare and Medicaid-eligible individuals. Providers through Valley Behavioral Health.
Provider Profiles: Optum programs also for Tooele County.
Optum Medicaid Member Handbook on website
Spanish Handbook available on website
Source: Medical Home Portal
Last Updated: 10/9/2019

Nationwide

Address:
Washington, DC
Services Provided:

Govbenefits.com is a free confidential prescreening tool for state and federal government programs. Search for benefits you may be able to receive.

Provider Profiles:

Internet resource, State and Federal resources
Partners with USA.gov

Source: MHP-Nationwide
Last Updated: 6/22/2020
7500 Security Boulevard
Baltimore, MD 21244-1850
Phone: 800-633-4227
Organization Name: Medicare
(Show others in Organization)
Address:
7500 Security Boulevard
Baltimore, MD 21244-1850
Phone: 800-633-4227
TDD: 877-486-2048
Toll Free Phone: 800-633-4227
Eligibility: Persons age 65 and older, anyone with certain disabilities or end-stage renal disease.
Services Provided: Medicare Providers Search WWW.MEDICARE.GOV
Centers for Medicare & Medicaid Services (CMS) is a branch of the U.S Department of Health and Human Services. This is the federal agency that administers the Medicaid programs and monitors the Medicaid programs offered by each state.
General Automated information about Medicare coverage, claims, deductibles, billing and publications.

This Medicare program is a nationwide automated help line or online resource.
A speech automated system will ask you questions that you answer with your voice to direct your call automatically.
For... Just say.....
Medicare prescription drug coverage "Drug Coverage"
Extra Help "Limited Incomes"
Medicare prescription drug enrollment status "Status"
Telephone number for your State Medical
Assistance (Medicaid) Office "Medicaid"
Medicare publications "Publications"
A customer service representative "Agent"
Provider Profiles: Nationwide
Source: Nationwide Suggest Providers Queue
Last Updated: 1/9/2020