News & Notices

Merry Christmas from Jai Medical Systems

Dear Friend,

During this holiday season, we would like to thank you for your continued membership with Jai Medical Systems, the Highest Rated Medicaid Health Plan in Maryland, according to the 2024 MCO Report Card. You made a smart choice!

As always, at Jai Medical Systems, we want to help you live life well. In an effort to promote wellness this Winter season, we would like to take this time to remind you about the importance of staying up to date with preventative healthcare by visiting your Primary Care Provider (PCP), and the importance of receiving immunizations such as the flu shot. By doing this, you will stay healthy this winter season, and you may even earn your Healthy Reward. Remember, it is not too late to earn your 2024 Healthy Reward! To earn your Healthy Reward for 2024, please visit your PCP for your annual physical before the end of the year. For assistance with scheduling an appointment with your PCP, please contact us today at 1-888-JAI-1999.

Lastly, please renew your Medicaid benefits with Jai Medical Systems when you are notified it is time to do so. Maintaining health insurance coverage is important especially when you are seeking to access care at your PCP’s office, visiting urgent care or the Emergency Room, or when filling a prescription. For more information on how and when to renew your Medicaid benefits, please see page 3 of this newsletter.

Wishing you a Merry Christmas and Happy New Year!

Ulysses McArthur,
Jr. Manager, Customer Service

INSIDE THIS ISSUE:

CAHPS and Member Satisfaction and Survey Results

Each year, Jai Medical Systems receives feedback from our members through two surveys. The first is the Consumer Assessment of Healthcare Providers and Systems (CAHPS) survey. The goal of this survey is to find out what you think of your health plan, Jai Medical Systems, and the providers you see. The CAHPS survey results are compared against other health plans throughout the State and Nation. The 2023 Adult CAHPS results showed that our “Overall Health Plan Rating” was 47.64%. Our highest performing areas for adults included “How Well Doctors Communicate” at 91.42% and “Customer Service” at 92.98%. For the 2023 Child CAHPS survey, we received an “Overall Health Plan Rating” of 59.43% and the highest performing area was “How Well Doctors Communicate” at 93.22%.

The second survey is an internal survey that Jai Medical Systems sends out to give members an opportunity to provide us feedback on how we are doing. In 2023, our overall satisfaction rate from our members in this survey was 99%. Our 2024 internal survey was sent out with our Fall 2024 Health Beat. If you have not completed this survey yet, please take some time to complete it and mail it back in the postage paid envelope.

Thank you for taking the time to provide us with your valuable feedback and for participating in these surveys. If there are any areas where you feel that you cannot rate us highly, please do contact our Customer Service Department at 1-888-524-1999 so that we may address your concerns.

Member Resources Online

As a member of Jai Medical Systems, you are eligible to sign up for access to our member portal, which features exclusive content only available for our members. To sign-up or visit our member portal, please visit our website today at www.jaimedicalsystems.com. If you would prefer any of the information in print that is noted in the chart below, you may contact our Customer Service Department at 1-888-JAI-1999.

Attention Members with Diabetes:
Have you received your Eye Screening?

Did you know that individuals with diabetes are at an increased risk for vision problems? It’s true, and that is why if you have diabetes, it is important for you to receive a diabetic eye screening at least annually. This vision screening can detect issues such as diabetic retinopathy, a condition which can cause vision loss.

If you have not received a diabetic eye screening in the past year, now is the time to get your eyes checked. Diabetic eye screenings are available through providers in our vision network.

In addition, we are excited to share that diabetic eye screenings are now available at the following participating provider, Jai Medical Center, locations:

• 1235 E. Monument Street, Baltimore, MD 21202
• 4340 Park Heights Avenue, Baltimore, MD 21215
• 301 International Circle, Suite 100, Hunt Valley, MD 21030

For assistance with scheduling an appointment for your diabetic eye screening, please contact our Customer Service Department today at 1-888-JAI-1999.

Don’t Lose Your Health Insurance Coverage!

Jai Medical Systems cares about you, and we want to make sure you aware of how important it is to renew your Medicaid benefits when you are notified it is time to do so. Renewing your Medicaid benefits is important. By completing your redetermination application in a timely manner, you can ensure your Medicaid benefits with Jai Medical Systems continue without interruption. Redetermination notifications will be mailed to Medicaid recipients when it is their time to renew their benefits.

These important mailings will come from both the State of Maryland and Jai Medical Systems. Further, Jai Medical Systems will reach out to you by phone to remind you of this important task. Please ensure that you have the most up-to-date contact information on file with Jai Medical Systems, so that you can receive these important reminders by mail and phone.

To ensure that you maintain your health insurance benefits with Jai Medical Systems, please renew your benefits before your eligibility end date. To renew your benefits today, please visit the Maryland Health Connection website at www.marylandhealthconnection.gov.

You may also apply by walking in today to meet with a Certified Application Counselor at one of these independent participating medical centers, Monday through Friday, 9am to 6pm:

Preventing Fraud and Abuse

IT IS AGAINST THE LAW TO COMMIT FRAUD AND/OR ABUSE!

How Do I Stop Fraud and Abuse?

We welcome and encourage you to report anything suspicious related to fraud you may have seen.
Reporting suspected fraud or abuse will not affect your services with us.

Individuals suspected of committing fraud and/or abuse by Jai Medical Systems will be reported to the
Maryland Department of Health – Office of the Inspector General (MDH-OIG) for further investigation.

To Report Fraud and Abuse

You can call the Fraud and Abuse Compliance Officer: 1-888-JAI-1999
Or write to: Jai Medical Systems, Attn: Fraud and Abuse, 301 International Circle, Hunt Valley, MD 21030

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