If you or your customers on Medicaid (MA) run into service difficulties at the various HMOs in Dane County, this table lists the contact people.
| HMO Name | Medicaid Advocate Phone, Fax and Customer Service | Mental Health & AODA Contact Numbers |
|---|---|---|
| Dean Health Plan |
Babette Casey: Customer Service: |
Mental Health AODA – Gateway Recovery: |
| GHC of South Central Wisconsin |
Jodi Joyce: Customer Service: |
Mental Health Intake: Richard Adelman/Jim Vandenbrandt AODA – Gateway Recovery: |
| Physicians Plus |
Rebecca Wuetrich: Customer Service: |
JMHC Intake: Contact Lynn Brady or Sue Moran if problems |
| Unity Health Plans |
Carola Peterson-Gaines: Daphne Daniels: Customer Service: |
MH/AODA – Intake Services through UW Health: MH services at JMHC: Lynn Brady/Sue Moran |
| HP/EDS State Health Care – Ombudsman |
(800) 760-0001 or Nirobe Adams: Katie Ploeser: Natalie Stone: |
Call for complaints, grievances, and advocacy. Call Lucy Miller for assistance with exemption requests: |
For local enrollment issues, call Automated Health Systems 1 (800) 291-2002 press option 1 (twice). Wes Skaggs is a supervisor at extension 3122. The non-collect number is (414) 221-9300. Also, the HP/EDS HMO Ombuds can help with exemptions and have been more effective.
For medically related transportation, all transportation is done by MTM. People need to call 1 (866) 907-1493. If folks have transportation problems, please encourage them to file a complaint.
The Center for Patient Partnerships (CPP) also provides advocacy in some commercial insurance and SSI cases, typically with a cancer diagnosis. They are at (608) 265-6267. ABC for Health is an excellent advocacy resource for children with special health care needs. They can be reached at (608) 261-6939. The Medicare D Hotline for prescription drug questions or problems with Medicare Drug Plans 1 (800) 926-4862. For uninsured with prescription drug needs, try www.needymeds.com; it is effective in many cases.
