Enrollee Choice. (A) The Department shall determine eligibility for Enrollment and will offer Potential Enrollees a choice among all Dental Plans available in the Service Area. If the Enrollee does not select a Dental Plan, the Department shall assign the Enrollee a Dental Plan. (B) The Department shall certify and the Contractor agrees to accept the individuals who are eligible to be enrolled in the Medicaid program. (C) Each Enrollee can be enrolled or disenrolled in a Dental Plan independent of the enrollment or disenrollment of any Family Member. (D) If more than one Dental Plan is available, on an annual basis, Enrollees shall be permitted to transfer from one Dental Plan to another without cause during the Department-defined open enrollment period. (E) The Department may, at any time, revise its enrollment procedures. The Department will advise the Contractor of the anticipated changes in advance whenever possible. The Contractor shall have the opportunity to make comments and provide input on the changes. The Contractor shall be bound by the changes in enrollment procedures.
Appears in 4 contracts
Samples: McNa Dental Contract, Premier Access Contract Prepaid Ambulatory Health Plan (Pahp), Prepaid Ambulatory Health Plan (Pahp) Contract
