Family and Children's Medicaid MA-3505 MEDICAID IDENTIFICATION CARD
REVISED 04/01/12 -CHANGE NO. 09-12
A. A Medicaid Identification card is issued annually for most Medicaid recipients, including Work First and Special Assistance (SA). (Specified Low Income Medicare Beneficiaries (MQB-B) and Medicare Qualifying Individuals (MQB-E) do not receive a Medicaid card.) The color of the card is gray.
B. A Medicaid Identification Card:
1. Shows the issuance date, name, date of birth, and Medicaid ID number for the client. The card is not proof of Medicaid eligibility.
2. If the client is enrolled in managed care, shows the name, address and telephone numbers of the Primary Care Provider (PCP).
3. If the client is enrolled in Behavioral Health Managed Care Organization (MCO) through a Local Management Entity (LME), shows the name and telephone number of the MCO.