Beneficiary Assignment and Enrollment Sample Clauses

Beneficiary Assignment and Enrollment. Enrollment into the ACC Program, or disenrollment from the ACC Program, does not reduce entitlement or access to Medicaid or Medicare services. The ACC Program utilizes a passive enrollment process that attributes Medicare-Medicaid beneficiaries to the RCCO in the geographic area and, where applicable as noted below, to a PCMP, based on existing beneficiary-provider relationships. Individuals receive advance notice and have sufficient time and opportunity to make an informed choice about participation in the Demonstration and the ACC Program. Individuals who do not wish to participate in the Demonstration and ACC Program may opt out or request disenrollment at any time. Regardless of enrollment status, entitlement or access to Medicaid or Medicare services does not change. The State will continue to work with CMS to ensure that enrollment and disenrollment processes for Medicare-Medicaid beneficiaries meet all requirements of the Demonstration. A beneficiary whose primary care provider participates in the ACC Program will receive all the benefits the ACC Program offers. For a beneficiary whose primary care provider is not currently participating in the ACC Program, RCCOs will continue to conduct outreach to the beneficiary and to the provider, make every attempt to involve the provider, and take steps to ensure that the beneficiary receives comprehensive, coordinated care, services, and supports in the Demonstration. A beneficiary whose primary care provider does not participate in the ACC Program receives support through the ACC Program as described above. Additionally, if extensive outreach and education efforts by the Department and the RCCOs are unsuccessful in persuading the beneficiary’s existing primary care provider to participate in the ACC Program and if the beneficiary would like to receive greater benefit from the ACC Program, the Department and the RCCOs will work to assist the beneficiary in finding a participating primary care provider. The Department recognizes the importance of existing beneficiary-provider relationships, and its objective is to maintain those relationships to avoid disruption in care and services. No ACC Program client is, and no Demonstration beneficiary will be, asked to change primary care providers. The Department and the RCCOs will continue to direct outreach efforts to ensure as many primary care providers for Medicare-Medicaid enrollees as possible are in the ACC Program as PCMPs before the Demonstration’s implemen...