Know Where To Go
Primary Care Provider (PCP)
Your primary care provider should be the first line of defense when it comes to your health care. Whenever you are sick or hurt, unless it is an emergency, you should always call your PCP first. Your PCP:
Should be familiar with your health history.
Should be able to work with you on a treatment plan for your health-related issues.
If you do not know who your PCP is, you can find it on your member ID card and in your My Health Toolkit® profile.
Talk to a registered nurse whenever you need with our toll-free 24-Hour Nurseline. Including holidays and weekends, our teams is ready to help 24/7. Our nurses will be able to:
Give advice on where to go for care.
Answer health related questions.
Help you find a doctor after hours or on a weekend.
Call the 24-hour nurseline at 800-830-1525 (TTY: 711).
If you have an illness, injury or condition that is not an emergency, but you need to be treated right away, you should go to urgent care.
Some reasons you may need to visit urgent care include:
A very sore throat
Cut that may need stitches
Injury from a fall
There are no copays with Medicaid for going to urgent care.
Call 911 or go to the nearest hospital emergency room (ER) if your health is in serious danger and you need medical attention right away. There are no copays and you do not need preapprovals for emergency care services covered by Medicaid.
You need to seek out emergency care if:
You have chest pains.
You have trouble breathing.
You are bleeding badly.
You are having issues with your pregnancy.
You feel like you might hurt yourself or someone else.