Letter to CMS - Medicaid Managed Care Policies - Agency for ...

The enrollment broker takes the following actions:
• Discontinues accepting voluntary enrollments to the affected plan.
• Notifies choice counselors of the change in available plans, including MediPass, for the
affected area.
• Updates written materials available to recipients and used by the choice counselors to
accurately show the available plan options, including MediPass.
• Updates online enrollment processes and website information to accurately show the
available plan options, including MediPass.
• Updates auto-assignment processes to prevent future auto-assignments to the affected
plan.
• Update provider network file databases to accurately reflect the change in available
plans and network providers.
• Work with the Agency staff to transition existing enrollees in the plan leaving the area or
when a plan reaches enrollment capacity. (See STC 14d Health Plan Transition
Process Policies.)
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