GBUAHN Handbook - January 6 2020

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PART 5 DISENROLLING OR TRANSFERRING FROM GBUAHN HEALTH HOME “Guidance when YOU need it most.”
DISENROLLMENTS AND TRANSFERS Membership in GBUAHN Health Home is voluntary for all members. Members can request to be disenrolled for the following reasons: • You move out of our service area. • You and your care team all agree that disenrollment is best for you. • You are or become exempt or excluded from managed care. • We do not offer a Medicaid managed care service that you can get from another health plan in your area. • You need a service that is related to a benefit we do not cover and getting the service separately would put your health at risk. • We have not been able to provide services as you expected. • You wish to transfer to another health home in Erie County. HOW TO CHANGE MANAGED CARE ORGANIZATIONS You may be able to transfer to another plan over the phone. Unless you are excluded or exempt from managed care, you will have to choose another health plan. GBUAHN will be happy to help facilitate the change to a managed care organization that we accept. It may take between two and six weeks to process, depending on when your request is received. You will get a notice that the change will take place by a certain date. You can ask for faster action if you believe the timing of the regular process will cause added damage to your health. You can also ask for faster action if you have complained because you did not agree to the enrollment. 22
Page 2 and 3: Welcome to the GBUAHN Health Home!
Page 4 and 5: PART 1 HIPAA NOTICE OF PRIVACY PRAC
Page 6 and 7: • From your experiences with us s
Page 8 and 9: PART 2 WHAT TO EXPECT AFTER JOINING
Page 10 and 11: Member Services - There is someone
Page 12 and 13: ADVANCE DIRECTIVES There may come a
Page 14 and 15: MEMBER RIGHTS AND RESPONSIBILITIES
Page 16 and 17: Your responsibilities As a member o
Page 18 and 19: How to file a complaint with GBUAHN
Page 20 and 21: about your complaint. If your compl
Page 24 and 25: MEDICAID I You could become ineligi
Page 26 and 27: MANAGED CARE ORGANIZATIONS (INSURAN
Page 28 and 29: CRISIS SERVICES If you are dealing
Page 30 and 31: GBUAHN is committed to providing th
Page 32 and 33: Q: I received a utility shutoff not
Page 34 and 35: PART 9 RESOURCES & IMPORTANT PHONE
Page 37 and 38: Approved by NYSDOH New York State D

GBUAHN Handbook - January 6 2020

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