Effective April 1, 2023, the Montefiore Care Management Organization (CMO) will no longer be the managing entity for the following members: EmblemHealth Enhanced Care (Medicaid), Enhanced Care Plus (HARP), Child Health Plus (CHPlus), HMO Prime, HMO Access I, HMO Plus, and HMO Preferred members. As a result, CMO will no longer perform utilization management (including pharmacy), case management, claims payment, and behavioral health management services for these members.
Members currently managed by CMO will receive a new member ID card. Please refer to the back of the card or the Directory chapter of the provider manual for information on claims submission and authorization requests for dates of service on or after April 1, 2023.
JP 61585 03/2023
