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Priority Partners is one of seven Managed Care Organizations authorized by the State of Maryland to provide health care services for Medicaid, Maryland Children’s Health Insurance Program, and Primary Adult Care (PAC) recipients. It is owned by Johns Hopkins Health Care and eight federally qualified health centers located throughout the State. Priority Partners has established a statewide network of doctors, health centers, and hospitals offering doctors visits, vision care, prescription coverage, immunizations, hospital coverage, dental care, and no-cost over-the-counter medications, as well as substance abuse services. To manage complicated healthcare issues, Priority Partners has several Care Management initiatives which provide one-on-one nurse case managers to assist individuals in understanding their illness, adapting to their treatment plan, and coordinating medical appointments. The Maryland Childrens Health Program (MCHP) was established in 1998 using federal and state funds to provide no cost health care coverage to children up to age 19. The program also offers pregnant woman of any age full pre-natal, delivery, and post-partum health care. Eligibility for MCHP, determined by family size and income, is based on a sliding scale. For example, a family of four with income at or below $51,625 would qualify to have its children enrolled in MCHP at no cost. In determining eligibility for pregnant women, the program counts the unborn child as a member of the family and increases the income eligibility levels significantly (i.e. a family of four including a pregnant women would qualify with a household income as high as $60,325). In cases where family income is somewhat higher, many families are eligible for MCHP Premium, a low-cost health insurance program. A family of four with income at or below $61,950 could participate for a monthly fee of $45. If the family included a pregnant woman, the eligibility income level would rise to $72,390 for the household.
Primary Adult Care (PAC) was
established in 2006. PAC helps stop little problems
before they become BIG health problems. With PAC,
you will get to see a health care provider who knows
you and your health concerns. When you get tests and
treatment you need, you can get healthy and stay
healthy. PAC offers health services to people 19 and
over who make limited amounts of money each year.
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