Eligibility for TrueCare™ MississippiCAN
TrueCare serves members through the MississippiCAN program. You must receive Mississippi Medicaid and be a resident of Mississippi to be in this program. Only certain members qualify for MississippiCAN. Below are lists of who may qualify.
Terms to know:
- Federal Poverty Level (FPL)
- Temporary Assistance for Needy Families (TANF)
- Children’s Health Insurance Program (CHIP)
Understanding Your Options
Mandatory Populations: Some groups are required to use a coordinated care organization, like TrueCare, to receive their Medicaid benefits. This means you must enroll in a program that helps coordinate your health care and you cannot disenroll from the program.
| Populations Who May Not Disenroll | Ages |
|---|---|
Supplemental Security Income (SSI) | 19-65 |
Working Disabled | 19-65 |
Breast and Cervical Cancer | 19-65 |
Pregnant Women (below 194% FPL) | 8-65 |
Newborns (below 194% FPL) | 0-1 |
Parent/Caretakers (TANF) | 19-65 |
Medical Assistance Children (Populations other than those listed above) | 0-19 |
Transition children | 1-19 |
Children (TANF) | 0-19 |
Children (below age 6, below 143% FPL) | 1-5 |
Children (below age 19, below 100% FPL) | 6-19 |
Quasi-CHIP (previously qualified for CHIP, age 6-19, 100-133% FPL) | 6-19 |
Children (age 0-19, below 209% FPL) | 1-19 |
Optional Populations: If you’re in one of the groups in the table below, you have a choice. You can either choose the basic Medicaid plan, which covers essential health care services, or you can choose to get all the basic benefits plus some extra services by joining a MississippiCAN organization, like TrueCare.
If you decide you only want basic benefits, you can change your plan within 90 days. You can reach out to the Mississippi Division of Medicaid (DOM) to disenroll or switch back to fee-for-service (FFS) Medicaid. FFS is where the state pays your providers directly for health care services you get.
| Populations Who Have the Option to Enroll | Ages |
|---|---|
Supplemental Security Income (SSI) | 0-19 |
Disabled Child Living at Home | 0-19 |
DHS-Foster Care Children | 0-19 |
DHS-Foster Care Children (Adoption Assistance) | 0-19 |
American Indians | 0-65 |
Who cannot be a part of MississippiCAN:
Some groups do not qualify for benefits under MississippiCAN. These groups include:
- Members in any waiver program including:
- Elderly and Disabled (ED)
- Independent Living (IL)
- Traumatic Brain Injury/Spinal Cord Injury (TBI/SCI)
- Assisted Living (AL)
- Intellectual Disabilities/Developmental Disabilities (ID/DD)
- Members who have both Medicare and Medicaid
- Members who live in an institutional setting, like:
- A nursing facility
- An intermediate care facility for individuals with intellectual disabilities (ICF/ID)
- A correctional facility
- And others
Also, members will lose their MississippiCAN eligibility and be disenrolled from TrueCare if they:
- No longer live in Mississippi.
- Die.
- No longer qualify for Medicaid benefits.
- Begin living in a nursing home.
- Enroll in a waiver program.
- Become eligible for Medicare.
- Are diagnosed with hemophilia and get clotting factor products and other treatments.
Want to learn more? Go to: https://medicaid.ms.gov/who-qualifies-for-mississippican/.
Member Services: 1-833-230-2050 (TDD/TTY: 711), Monday through Friday, 7 a.m. to 8 p.m. Central Time (CT).