Change in Participant Status. The CHC-MCO must report the following to the Department’s MMIS on the Weekly Enrollment/Disenrollment/Alert file: pregnancy (not in eCIS), death (not on eCIS),and returned mail alerts in accordance with Section VIII.C.5, Alerts. The CHC-MCO must report Participant status changes to the appropriate CAO using the CAO Notification Form within ten (10) business days of the change becoming known. These changes include phone number, address, pregnancy, death, and family addition/deletion. The CHC-MCO also must provide a detailed explanation on the form of how the information was verified.
Change in Participant Status. The CHC-MCO must report to the Department on a weekly Enrollment/Alert file the following: pregnancy not on CIS, death, and return mail alerts in accordance with Section VIII.B.5
Change in Participant Status. The CHC-MCO must report the following to the Department’s MMIS on the Weekly Enrollment/Disenrollment/Alert file: pregnancy (not in eCIS), death (not on eCIS),and returned mail alerts in accordance with Section VIII.C.5, Alerts. The CHC-MCO must report HCBS Participant status changes to the appropriate CAO using the PA 1768 Form within ten (10) business days of the change becoming known. The CHC-MCO must report status changes for all other Participants using the CAO Notification Form within ten (10) business days of the change becoming known. These changes include phone number, address, experiencing homelessness, pregnancy, death, and family addition/deletion. The CHC-MCO also must provide a detailed explanation on the CAO Notification form of how the information was verified.
